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P - 75527O�RDER FOR PAYMENT NO. �°-. ��^ Gt��-� � � -� . .,. ► �� ..��,, r' Installer of Wiring �� j � � r��Z wner ccupant Job ��t�c'� Property Address � Y� -0�``" �� i�� p �S�' �3� Date �" �� ° °� Permit No. D Additional rough-in inspec4ton was required. 0 No act�ss - scheduled tnspectlon. � Fee s�urtage - see computation. �r � ��,�. Fee Computatlon: Date Flled � �� 6� � ' . � � ,�� ,�� '- ��ro AuG � � 2ooe .� : :�� CTTY OF FRIDLEY 6431 UNIVERSITY AVE NE FRIDLEY MN 55432 �� 19� � ��. Please return this order w in the amount of ��° aayable to the cfty/ townshtp by (date) Inspector � �� $ ��^— Telephone ��i%�� G �� RETURNTHIS OEiDER WITH PAYMENTTOTHE CITYROWNSHIP WHERETHE JOB IS LOCATED. RC-02