AF-R - 40783City of Fridley, Min.n.
BUILDING PERMIT N� 5 s 2 3 �-
Date: ,l�'"�', ,� l�` �'�"` '�/ I
/ '`'1
� � _ a �, !��! ,r� ,i �f' ., "' � ..._
OWner: �,�'' _ .� �, ---�- � Builder
Address �°� Address
LqCAT� F BUILDING
rc
No. Street � ^� � � Part Lot -
Lot _ Block G'"' Addii3on or Sub-Division �—� �
• ... /
Corner Lot.;�� Inside Lot Setback Sideyard �
Sewer IIevat3on � .� Foundatton IIevaiaton
DESCRIPTION OF BUILDING
T be Use�i � Front � Depth _���---� Height ��..L_ Sq. Ft wJ���30 Cu, Ft, /����
Front Depth � Height � S4. F't. Cu. Ft
Type oP Construction �.�,��''�.� �� Coat ��� __ To be Completed ._.._
In consIderation of the issuance to me of a permit to construct the bwtlding described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all proviaiona of
ordinances of the dty of Fridley.
�
p
In consfderation of the payment of a fee of $� ���permit fs hereby granted to.—
to construct the building or addition as described above. This permit is granted upon
1�the express condition that the person to whom it is granted and his agents, employees and worl�en, in all work
done in, around aad upon said building, or any part thereof, shall conform in all respects to the ordinances of
Frldley, Minnesota, regardin� location, construction, alteration, maintenance, repair and moving oP buildings
within the city limits and thia permit may be revoked at any time upon violat��n of any of the provisions of said
ordinances. �.. _ .� , �l
-`: v'��'"`� BuildinB Inapector
NOTICE:
Tlils permit does not covee ths eoesfweHoa, testallatien for wiring, plumbtay, gas 6eefiva. se�rar ee watsr. Be surs fo sss
16s Batldies Inspsetar for �parate permNs for fl+aa Ite�ns. '
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Owner's
Addres
APPLICATT0�1T �'OR SUI?1DiNG PE�T
,��r� ���c�R�IDLEY, Mi1�11TES(yl'A
r
o C,1�c�C �. � � � ��
^ v�tw ��. �Q� Builder �e c � � ct
� � 11� . Addres� � I��r�;� __..
� �,
� f �� - LO �S[ON OF BUI�DTNG '
�`� �, � � ..� _
. ��
No, �, �-` 3 ree� � Part of Lot I
.�
�- .
Lot � , Slock „_�, r„�„^ A dition or Subdivision �^�_���
i �
Corner Lot_,�,_____,�nside Lo�t Setback �-� Side-Yard ��
SEfr�E�.t ELEVATION FOUNDATION ELEV''ATIOI�T
Applicant attach to this �orm Certi�icate of Survey of� Lot and
,�roposea building location.
DESCRIPTYOLV OF BUILD=NG
To Iae used as n � � li'� +� � \ 1� `��� `��� � �o .
�
Type
To be
Front, Depth Height
Sq. Ft. Cu. Ft.
Fxont__._____, De,p�h Height
Sq. Ft. Cue Ft.
of Construction ����,��c�-���'��c�� Esti�nated Cos� �� —
�.�..., .�� , ...
Completed �1Qs�,c,��1 � . �,���
The undersigned hereby makes application �'or a permit �or the work
herei� s,pecified, agree�.ng to alo a11 work in strict� accordance with
the City of Fridley Ord�tnances and ruling og the Depar�ment of euild-
ings, and hereby declarea that all the facts and represen�cations
s�at�d in this application are true and cor ect.
D�TE ��� ��. SIC�1TATtTRE
_ ._,._.__. �. ._._
(Schedule of Fee Coste car� be•fonnd on the Reverse Side).�e�
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BUILDaNG PERMIT FEE �CHEDULE
Sect3on 2. The Inspector o� BuildinCs shall, before issuing any
pe�cm3.i: ,for the e�ec�ion o� any builcling or structure, or for any
addition to any o�cis��ng building or st�uc�u�e, or for any alterations
or repairs to any sxis�ing building or s�ruc�ure, upon application
�h��e�or, require the pay�tent 1oy the applicant �or such permit of
�ees �o the amount herein below set forth and 3.n the manne�c here3n
prov3.ded to-wito
2.1. For any such pe�cm3.t for the erection of any fire-proo� building,
oi:heY than a garag�, waxehouse, �actory or grain elevato�c, or gor the
erec�ion or any :cize-proo� addition, for s�nilar occupancy, to any
exis�c�ng bu3ldi�g shall be sat the rate oiE $1.40 for each one thousand
cubic �eet, or �Eraction thereof, in auch cubical contents.
2.2. For any such perm�it �or the erect3on of any fire-proor' garage,
warehouse, �Eactory or grain elevator, or �or the erection or any �ire-
proo� addition, �or similar occupancy, �o any existing bu�llding shaZl
�e at the rate o�c $1.25 for each one thousand cubic feet, classi�iecl
as "Lireproo�" by Section 502 0� the Nlinneapolis �uilding Coae.
HOUSES
2.3. For any such permit for the erection of any non-fireproof build-
ing other than a garac�e, warehouse, fac�ory or gra�.n eleva�or, or any
nonerireproo� add3.�ion, �or aimilar occupancyt to any exis�cing buildinge
Pera�it $1.00 for each one thousana cubic feet.
Gt�,GEs
�
2e4. For any auch permit for the erection o� any non-fireproof
`�, garage, waxehouse, �actory or grain.elevator, or for the erection of
any non-fireproof add�t�ton, �or similar occupancy, to any existing
building or �or each such building or add3.tione Ninety Cen�ts for each
one �housand cubic �eet or graction ichereof, ia the cubical contents
thereof w�.th a miniznum of $4.00.
For the purpose of cornputing fees for building permits the cubical con-
tents of any bu3.lding or addit�.on to a uniform height throughou� by
multiplying the ground a�ea covered :�xom a point aix (6) inches below
the floor line of the basement or cellar to the average height o� the
upper surface or �o 'che average heigh� of the roof surface of the ma3.0
galole of a pitched �cooi.
2.5. For repairs o� alterations to an existi.ng structure, the �ee
shall be at the rate of $3.00 per each Five Hundred Dolla:�s ($500.00)
or ��action �thereor in �khe cost o� all proposed vvorke
2.6. �n no case shall the fee charged sor any permit as set for�th in
Section 2 be less t?^n $4.00. � .,
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sus�ecr PERM
City of Fridley _� � 6 � 2 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
; � CEIPT N
� • COMMUNITY DEVELOPMENT DIV. �/ � �
� VV �����
r � � PROTECTIVE INSPECTION SEC.
� i �
� /'�'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'""� � ,�' 612-571-3450 9� 0-F15 8/13/82 / /
JOB ADDRESS 5940 East River Raod N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 2 East River Estates SHEET
2 PROPERTYOWNER MAIL'ADDRESS ZIP PHONE
Ed and Mel's Enterprise 5940 East River Rd. N,�. Fridley
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
David Janssen Roofi.n 115 S.unset Dr. Cham lin 55316 421-8439
4 ARCHITECTORDESIGNER MAILADDRESS' ZIP PHONE LICENSENO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
8 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE qF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. T3T�GY'aVP�
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 3
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �`y�. SOO.00 �•90
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMIT FEE SAC CHARGE
PRO NS OF ANY OTH R STATE OR LOCAL LAW REGULATING CON-
ION �R TH PE MANCE OF CONSTRUCTION. 29. SO
PLAN CHECKFEE TOTALFEE
� �3 �� 30. 40
SIGNATUREOFCON�An O O:7AUTHORIZED GENT tbnTE� WHE PROPE Y DAT D H IS YOUR PERMIT
� �" �.
SIGNATUREOFOWNERIIFOWNERBUILDERI IDATEI _ � � INSP DATE
CITY OF FRIOLCY Effective Aug. 1, 1981
APPLIGATI�'� FOf; RCSIDCi�TIll� QU1LQIt1G PL•�r�ITS
(Wc�r, Alteratians, AddiLions, or Repairs)
.
Ol•J(�FR: �-- ��.� QUILDER: ` � � ,
. 'la
AODRE55: � � �/v � _ ��.,••-�,� � AODRESS: �/9� ;�'�e � �,
TEL N0: TEL f�0: _ � � � '�`�� �
Construction Location
STRI�T NO: STItEET: �� �v � � V�e�f" a
IAT: . < SIAQC: � ADI;ITION: � �s� ���'`� ���"-�
��r,r.ci :�.`.e �i��t4e ;�i:: ��a�-- Si�eyardse
Ap�licant attach to this form two Certificates of S�rvey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOid OF C01•JSTRUCTIO�J
� � Front: Depth: Height:
.
�� A ��, � Squane Feet: tkibic Feet:
_ Front: Depth: Height:
Squar.e� FePt: C1�bic Teet:
. �
Type of Cor.struction : � Estimated Cost: $� O�,
�--�r
Rb Be Cbr.�pleted: � � %�
Alt. A Alt. B
Proposed Drive��ay Wicith If New Opening Is Desired: $' $
, . SE� REVERSE SIDE OF SHEET .
�'iie undersigned hereby ma};e� application for a perntit for the �.vrk� herein specified,
agreeing to do,all work in strict accordance r�ith the City of Pridley Ordinances �id
rulings of tl�e Department of Duilc3ings, and her declares that all the facts and
represr�tations stated in this zpplication ar e and co ect.
Da�: �—�'�j-�� SICrtnTVr�: � .
5tipulations: � ` .
P �• �
�� f �/
%�
� � �
' �: a � -�'
B�JILDING PERMIT FEE SCHEDULE
The inspector of buildings shall, before issuing pezmits�,for the
erection of any building or structure, or for any addition to any
bxisting building or structure, or for any alteration or.:repair$
to any existing building or etructure, upon application� therefore,
requize the payment by the applicant f or such permit of fees to the
amount herein below set forth and in the manner herein pronided to-wit:
TOTAL VALUATION
$1.00 t� $500.00
S501 to S2,000
$2,001 b� $25,000 <
FEES
$10.00 Minimum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
including $2,000 �
$32.50 for the first $2,000 plus $6.00 for each
additional $�,000 or fraction therepf, to and
including $25,000
$25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for
_ each additional $1,000 or fraction thereof, to
and including $50,000
$50,001 to $100,000
5283.00 for the first $50, 000 plus $3. 00 for
each additional $1,000 or fraction thereof, to
and including $100,000
5100,001 and up $443.00 for the first $100,000 plus 52.50 for
each additional $1,000 or fraction thereof
PLAN CHECK: 25 percent of building pezmit fee
DRIVIIn1AY DEPRESSION ESCROW: Concrete GUrb Streets Onily
Alternate "A°: Removeal and replacement of curb and gutter only
Drive�aay width plus 6 feet x$13.50
Alternate "B^: Resnoval and replace�nent of curb and qutter and install a 3 foot
wide approach with 6 inch depth
Driveway width plus 6 f eet x$15. 75
VERIFICATION OF FOUNDATION
�gr:,ni te Fnr -.^-4^.c�"ui!:$�3 Prij.�s J%�s£� is�i:cQ � iir5.:i�iitYt tS'F L� iiGili5 iYViII 'l`JYE tiliqe O�
application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Suzvey of the lot, showinq the location of the foundation once it
has been constructed will be required before proceedin� with. ttae framing.
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_
_
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 5, 2003
Superior Heating Air Conditioning & Electric
2132 2 Avenue N
Anoka, MN 55303 ,
Re: Corrections at 5940 East River Rd NE, Fridley, MN
Dear Sirs:
The following items must be addressed and/or corrected before a final inspection will be
approved;
�� 1) entify which apartments received the new furnaces.
� �
'� 2) Provide access to apartments or meet on job site.
� 3�Fumace access shall be provided when door is open per 1991 UMC 703 and 1991 UMC
505.�' �
��....� � � �%�>
"4) Filters must be externally mounted per 1991 UMC 703. ��� ���
�) Seal return air ducts per 1994 MN Amendment 1004 (b).
6) Combustion air is too close to the bath vent and d er vent�r 1v9��M��fl� �y���,,,�'
��� 7) Provide installation, maintenance, service instructions with each unit per UMC 504 (a) and
505.
8) Venting per manufacturer's specifications and per NF 4, Sizin and Installation.
� ��� � ��
��, Provide combustion air per 1991 UMC Chapter 6. �� ���� ���c''�.
�,�°�y
--���, ..f�
�� �
�
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� , ��,\
Superior Heating Air Conditioning & Electric
March 5, 2003
Re: 5940 East River Rd NE
��0) May need ventilation air per UMC 1994 MN amendment 608-2 A& B
�
11) Work must be done and inspection by March 31, 2003.
Please contact me if you have any questions concerning this matter.
Thank you,
� �L��O��°'��
L�����
KEVIN HANSON
Mechanical Inspector
CC: Ron Julkowski, Building Official
Angela Bodene, Fire Rental Inspections
Ralph Manning, Property Owner
Page 2
�
_
_
CITYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
October 29, 2003
Attn: Mark Johnson
Superior Heating AC & Electric
2132 2 Ave N
Anoka, MN 55303
Re: Corrections at 5940 East River Rd NE, Fridley
Dear Mr. Johnson:
This letter serves as notice that if the corrections at the above address are not completed,
a final reinspection called for and the corrections approved by November 7, 2003, the
procedure to revoke your heating and/or gas service licenses will commence. We will not
issue any further permits to your company until this matter is resolved.
Please feel free to contact either Kevin at 763-572-3606 or Ron at 763-572-3602 with any
questions conceming this matter.
Sincerely,
KEVIN HANSON
Mechanicallnspector, ,
RON JUL,l�OWSKI
Buildinq�f)fficial
CC: Scott Hickok, Community Development Director
�
_
_
Cl I I �F
FR[DLEY
FRIDLEY MUI�TICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
October 29, 2003
Attn: Mark Johnson �
Superior Heating AC & Electric
2132 2 Ave N
Anoka, MN 55303
Re: State Surety Bond
Dear Mr. Johnson:
This is notification that no permits will be issued to your company until you have filed your
surety bond with the Minnesota Departmenf of Administration and they have approved
your bond and placed you on their web site. See enclosed memorandum from the state.
Please feel free to contact the state at 651-296-4639 with any questions conceming this
matter.
Sincerely,
.
EVIN HANSON
Mechanicallnspector �
KH/mh
ENC: 1
� r
.'�`
��,�??�1r?T�,r �� /
� ♦ �- �. �i� ' � � ' � �� � �; �� i
` )�� � ' 1 �
MEMORANDUM DRAFT
DATE: June 27; 2003
TO: All Municipalities and Building Officials
FROM: Thomas R. Joachim `�
State Building Official
SUBJECT: Surety Bond and Filing Fee Requirements
Effective July 1, 2003
To eliminate city by city mechanical bond requirements and reduce multiple filings by
contractors, the State Legislature passed, effective July 1�`, 2003, a law requiring persons ,
contracting to do gas, heating, ventilation, cooling, air conditioning, fuel burning, or refrigeration
work in the state to have a$25,000 bond for the benefit of persons suffering financial loss by
reason of the contractor's failure to comply with the requirements of the State Mechanical Code.
The bond along with the $15 fee must be filed with the Minnesota Department of
Administration, Building Codes and Standards Division. The names of bonded contractors will
be displayed on our web site. .
A copy of the Mechanical Surety Bond and Fee form is enclosed. This form may be found at:
www.buildin�codes.admin.state.mn.us both under What's New and Forms and Printouts —
Mechanical Bond Form.
Statutory Language
MS 326.992 [Bond requirement; gas, heating, ventilation, air conditioning, refrigeration
(G/HVACR) contractors.J
(a) A person contracting to do gas, heating, ventilation, cooling, air conditioning, fuel
burning, or refrigeration work must give bond to the state in the amount o�25,000 for all work
entered into within the state. The bond must be for the benefit of persons suffering financial loss
by reason of the contractor's failure to comply with the requirements of the State Mechanical
Code. A bond given to the state must be filed with the commissioner of Administration and is in
lieu of all other bonds to any political subdivision required for work covered by this section. The
bond must be written by a corporate surety licensed to do business in the state.
(b) The comrnissioner of administration may charge each person giving bond under this
section an annual bond filing fee of $15. The money must be deposited in a special revenue fund
and is appropriated to the commissioner to cover the cost of administering the bond program.
groupslcommuaicadonslnewdceuments/compliance bond letter
Building Codes and Standards Division, 408 Mevo Squaze Building, 121 7th Place East, St. Paul, MN 55101-2181
651.296.4639 Fax: 651.297.1973 TfY: 1.800.627.3529 and ask for 296.9929
www.buildingcodes.admin.state.mn.us
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C[IYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 5, 2003
Commers Conditioned Water Co
9150 West 35 W Service Dr
Blaine, MN 55449
Re: Corrections at 5940 East River Rd NE, Fridley, MN
Dear Sirs:
The following item must be addressed and/or corrected before a final inspection will be
approved;
The placement of your softener does not meet clearance code to water heater.
The above correction must be completed by March 31, 2003 and a reinspection called for.
Please contact me if you have any questions concerning this matter.
Thank you,
i� , � —
��'_" ,
KEVIN HANSON
Mechanicallnspector __`
�_
CC: Ron Julkowski, Building Official
Angela Bodene, Fire Rental Inspections
Ralph Manning, Property Owner
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CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 5, 2003
Plumbing By Davey Jones
1382140 Avenue
Andover, MN 55304
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Re: Water Heater at 5940 East River Rd NE, Fridley, MN
Dear Sirs:
The following corrections must be completed by March 31, 2003;
��'I ) Water Heater unit top is cut away around the piping connection. It does not meet the listing
as per manufacturer with this damage.
�� 2) No installation, service and maintenance literature was left with the unit.
��-� 3) Venting must be done to manufacturer's specifications and NFPA 54, ie — Clearance and
Sizing.
/� `�°
� 4. Provide combustion air to space. ���° , ��� �
�� �
Please call for a final inspection after correction has been completed and if you have any
questions concerning this matter.
Sincerely,
y� � _
KEVIN HANSON
Mechanical Inspector
CC: Ron Julkowski, Building Official
Angela Bodene, Fire Rental Inspections
Ralph Manning, Property Owner
CI1'Y OF FRIDLEY PERMIT NO.: 2004-oo�so ����
6431 iJNIVERSITY AVENUE NE �
FRIDLEY, MN 55432 DATE ISSLTED: 02/09/2004 >
(763) 572-3604 FAX: (763) 571-1287 �"
ADDRESS : 5940 E RIVER RD NE �
;,
PIN : 223024120006
LEGAL DESC : EAST RIVER ESTATES
: LOT 1 BLOCK 2
PERMIT TYPE : HEATING
PROPERTY TYPE : MULTI DWELL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 1,500.00
NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERNIISSION FROM
ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A
INSTALL FURNACE (WARM AIR, GIBSON, 45,000 BT'U)
APPLICANT HEATING PERMIT FEE, COMM 25.00
SUPERIOR HEATING AC & ELECTRIC STATE SURCHARGE, MECH FLAT 0.50
2132 2 AVE N TOTAL 25.50
ANOKA, MN 55303 PAID WITH CHECK # 14042
(763)422-1721
OWNER
UNKNOWN
,
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and l�ow the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the pe rmance construction.
Applicant Date
Bldg D 9 Q
SEPARATE PERMITS REQ D FOR WORK OTI�R THAN DESCRIBED ABOVE.
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ANO CZ AR a.3 _ TO t3E RE►JIOV CO �`?�S� wk]'r I�CN D;C��:�
Block 2 East RiverEstates
by certify that this is a true and correct representation of a survey of the boundaries of
�ve described land and of the location of all buildings, thereon, and all visible encroachments,
, from or on said �and. As surveyed by me this 9� day of _ oc.TO g6r� A.D. 19 G� ,
SUBURBAN ENGINEERING� INC,
Eng3neers & Surveyors
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