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P - 75594
ORDER FOFi PAYMENT NO. �� 02�'-, �oo �' �SR��R � Installer of Wiring _ � 2f' �_ � OwneNOccupant Ti?� /v, � y-� /-�'f ` 9 � ' Job � Property Address __ �^ l `� l � � v' � �e � �- � ap �-� Date _��°'Q 8 PermR No. �� $���o Date Flled l-� �" �� O AddiUonal rough-in inspecUon was required. O No a - scheduled tnspection. ee shortage - aee computatton. ❑ Re(nspecdon fee. � Fee Computation: ` 5 ��,� �_P� �s -� � u ��-�� �/ � v� 3�7' ^ /�a S . � � - �� ��� �6 — � � � CITY OF FRIDLEY F1II� 6431 UNIVERSITY AVE NE FRIDLEY MN 55432 � � � � �_; �.- � c• �� � Please return thia order with your chedc in ount of ' aayable to the city/ township by (date) � � / .. a� Inspector G�. � Telephone � �� ?%% "T �G�f� RETURN THIS ORDER WRH PAYMENTTOTHE CITY/TOWNSHIP WHERETHE JOB IS LOCAYED. RC-02