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P - 75960
ORDER FOR PAYMEPIT PIO. � - .��6 = � �` /3 �- � a ._ .. ,. . . _, , . m . . . � - �-- - � - -. • � � Inst`aller of Wiring J�AA� f� � C^�� ��° Owner/Occupant Job �t�'-'�- Property Address � �� � ° � ` �� � � �� Zlp �• ����_ Date Permit No. ��. �° �� Date Filed O AddiUonal rough-in Inspection was required. O No acxess - scheduled tnspectian. Fee shortage - see computation. ❑ Reinspection fee. Fee ComputaUon: � � CITY OF FRIDLEY 6431 UNIVERSITY AVE NE FRIDLEY MN 55432 �L������C� �1..��� �.2P�= r�. /� �ia"�i !�' (�! c'��S �°� _ J �e �o � ��° !➢ . �� ° �� � Please return this order with your check in the amount of �� r�ayable to the city/ township by (date) Inspector ��= �r��-- Telephone ���' ��� ���� RETURNTHIS ORDER WITH PAYANENTTOTHE CITY/TOWNSHIP WHEEiEiFBE JOB IS LOCATED. RC-02