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P - 36708
Building BUILDII��T� Pe��c t�a.: � i�s�ct�ans ��I���I'�� ���'IIIC��`���t ����� �: 763-572 3�Q4 CITY U� �DL�� � �� ..��`l�..�- 1 �a� 11/f?3%2(}14 �c���-�ar�.�an�ss ������`d�i�dosa�c��3.d�nn. c�n srt`��n�s 1243 Gardena Ave NE �rrs n�r�.�cArrr r�: o awx� acc��rRACro� P�ttiP�.�tTY UAfii�lRt rt:�: G�� T��v 'i`�i�iANT ��s. same as site c�� s�r�►� z�► �: CONTRAG�'f3R NAME: '�UBItiUT A COPY OF STATE LICFIVSE ii BC— 2�3 5 6$4 7 �p t?ATE O 3 1� YtWRSTAi'�?LI�ENSE ��s: 2�2 t ve �y $�orth 8jt �`�� �p, �51.�4 �v_r�A�P����'�t� � 651-770-9315 �,a3c 551-i70-0495 PRt3�TY 1'i'PE � ��,���+�Y�v�wc��[�zu�r[ox srt� a zwcr �,�,�rn� co���tue�'tux s�s PERM�T TYFE D ADDiTfO1�F Q C�ARACIFJSHEi? Q WIl�DOWS O BA5F.11�ffi3'T FiNiSH ❑ Rt30F Q DRAilW TILE O I�CK ��IDlAd(`s 0 4�T'fiEit � SWR�G POpL '�Y�'E 8� �VQIiIi: Q NE�V LI �4Dt3t"PiON 42�+L4IKF�til�N�tR�PftiA i]R�TtiG DES�RiBBW4Ri�BEiNC�i�?NE: Reglacing 13 windows, . w SIZE OF �MPROYEIviE2�iT I.EI'�iGTf� VVFDTH HEItiHT . Ft. � ❑ z�at�sE oru,Y �� s�r�s o � �.c�a�+c� t� �4'�'cJici3�U Q� i- Fx�atg Fbor Ptaa ?. Ptcposoti800rpi�a ��iZE: E3DEF1►�I�B{t1lRAL3� 3. i�t� saea�sta�€nae,d PRfi�iSLDi�GH7': y� FUR i�l$W GQNS17tiJC3YON 7NCL�71?A+I{i DBLYZS, �! Y'� C�t � O Tr�a i. S� �ihe��es [1(3t�` �1 �+� �d �p�d #�'ojoct �s 2. 'i'�o � of ` p� fl�t E�S�IG £�€�NGS E]ltes C�t LEICAITQN f�+t�VI�S 3_ £�gy Caieu�tio� S� F� EIEsN Si� � 4P&�iII� CHAH�3E4 � 13 i'YPF t1� V�iDi3W Tf� 8� IAi$T11I.LED AiUMBER � l�l�il�IDOW3 lii,I. F'�ES �1�E BA.�iED i)1�T YALiiATIQAts �CLiJIiil�iG iF�� Ci3S'i` QP LABQii �4t�ID A'I�i'E�EBIAi.S: V P�snit Fee Ptsrt R� F'ne S�rr�rge �e Lfcease SAC C�e C� C'�ut E�xnw Eroseo� Co�efirol Part� Fee Se�vtr Main C� �usnrtG 'i'SE r44'r u.sac FEE s�ED[�LE} See B�c P� fcx Fee Sct�ie 6Srb c3f Bt�k�ttg P� Fee .Of� I titnes �tt f,a�t jab c+stu�i� .t�QQS x Pe�mit Vei� Minim� S.SU �5.00 (� �%� Re�id� C�j �167� � �4C Ili�t {F�s � i►4�t`.0 for � i ft+6ft= ftx�21=� 5�450 Coms�va�t P� Revi�+r �cae Ek� hy � . � nacsossary � ) Noa I�ieves�ey { } M�ita c�ecgs t�tvabie tu: Cfiv of �'Idlev� t'�H3 F5 AN APPI.FC�tiT�hi FdR A PERME%N(JT vALg3 E)Ni�F. PxUCEgSP,B I he�y a�ly f� a bm"iding p�mii and I�wledge that tl� inf� ah�e is � and sc�rat� tb�d #l�e w�rk vniii fie in c�o��Orcna� with ihe ord�s � cades af ttte City of �ridley � with the Ah"fnn�a C�an Ca� #l� I uQde�slat:d ih� is not a permit t� cr�iy ��piieatatin i`c� a p�mit � wosk is ncr� f,a �art v+�ifhcrut a��errme� � fbe wa�k w�T be u� � w�fh d� approveci ptan u� the c�se t� att wc�ttc vv�ich t�ueres reviev►� � ap�novat of pta�. su�aw°r� c� �ucArrr C� �/ p�rrr xr� Es ther DaY�I. nA,f.E 1110 3I2 010