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P - 39619From: 7637463777 Pa�e: 2/2 Date: 9/13/2011 4:22:40 PM ��` �, � .`` �VI 1..� I...Vll 1�.J�JL 1 1 VI11 111�\ 1�V4.1 il lil1+..1 i� 1 IVJ 1 V ItJV .�Ui.1E'�Il]':� �tspec�iox�s 763-572-3fiO4 763-502-4997 FA.� 6I'1"f3 ADARPS^s � 'Thi15 APPLlCAN'C!$� OWN'�R/ T�NA.NT SIJ�M[T A �OPY pF �rau� sTaTe �..�C�S� W�`��1'1 AfrFl.ICA7"(ON ��RNI1T �'1'1'� NA ������� �SID����A� ,�A►P�L:�:CATI(�N c�i� �� ��r.�r.,�i� CI OWN�R YOUR P.-MAIL ADDRf35S No.: Receivecf By; CQII�ANY N COr+rt'aer t� . ���"-:'.bordee�t't��ttrh?�t N� � STATG i:ICP.NS6 u���N 553od �P nA1'� AC11?R�98: CI'IY 5"I'A"i'k��,;LiN�,,,,,,,, PH0�16 '' �- FAX pAMtGY C19'WQ t+pM3'I.Y TYP� C1� w�RK: � � Nr3w [�l28Pl.ACEM�N7• /� u�TAU;�n n�sc�r�or� aF wo�c �'L�.Q�C± CJ TOW IYHbUSH o nr.TRRATIONlftbM019�i. � , Pt�E$ ARi� pqS�R ON S10.110 P�+R 1�lXTURIL, EXC�Pi' WHERE NCl'!'�:p, t+[7G'PLiRt�3+ :{LNDlC/1�r� ro�'AL NUM���t 0�' �etCH BTL�N') i�ROVI�� 1iF.A'1' LOSS CAI.C'S P6R MANUAI, J 20A6 ASIIHAL� HANpNQBK �quipmanllr�tnAad MFt3` _ M0t3(?L° � &IZ�/9'I1,J�,� MRGr ,�,� MQp�L: � MfG: MUl]r�L.: wrC �ts.00 1�11213PI.ACH {GAS} S1 S.ilO �' ArR TO AlR EXCHANf7EPR S I5 F'tR(?pl.�AC6 (WQQp) S3S.Up �IQ1L FR S3S.UD J„KURNACE 533.W �,,,C�I]MN13Y L1N13R t10.00 ,�,�AS DRYR1t $10 00 0:0� � x � 1 U,00 � Number of�fixturos Q �1S.U0 „�x S15,00 � $ Numbar oFfixtures � $7.5.00 ,,,,,, x �25.00 � $�,,,,,, Number oPfixtures (a] ��3.QQ ,,,,,,� x x3S.QQ � $ � � Stata 3urchargb = $ ! {�� *S ""tv � M 11�� li �i�s �s ar� arru�n•�tioH ric]�, R Pc�Cr No•c v�i��n u�L �OC�ssau 9!'LH/DTU,� 31Zl.''NTl! „�„�„` r�►�ct�ovm�r srn:oa GA9 Glili.t. i10 (10 UN17' H7'R3i0.t10 � M�1►`I�"ER 533.00 i h�ICby apply f4� 8 building �it a�d l aCknowlcdg4 Cha# tha inibrmepqn abpva is campleLe and t�CUrAto, that tho work wiN bo in confonnanca with the or�inancea snd ccxics 4f tha City of Fridlay nnd with tho Minnasutu Cc�nstrucCipn �odce; that ! undcrstand Usis is not a par�nit i�ut only an appGcotion for it and work is not to smrt withuut a pennit, thnt the work wil! bo Jn eyccprdanea wjtlt t}ie ttppt'ovnd pl8n it1 tlte c�tsp ofa11 wt�rk whi�h i� ro ' ond epproval of plans, s�r.INh'1'URL� OF App�+�f'rA1V'f� �u. J'1 AMF. �— ����.41C�.� , y AT1:�� `� Y"� '`�`�� . n /1 /i:n ' � l"• _ , c�iy o.f �rialey � d�ng Yaspcct�ons �.lepartm�nt 1Jniversity Avcnue �N'E, .I�ridl�y, MN 55432 76�-572-3b0A� F/�X:7b3-SOZ-4977