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AF - 45630e SUB:EC? '� City of Fridley ATTHETOPOFTHETWINS BUILD�NG �PERMIT , , ' COMMUNITY 9EVELOPMENT DIV. i �4 __�___' . r � 7ROTECTNEINSPECTION SE0. � � � � � �""� � CITY HALL FRIDLE� 55432 NUMBER eEV. onre �""'� � ,'' 612-571-3450 9i0-Fi5 5/30/84 J09 AODFlESS 109 Glen CYeek Road N. E. � 1 LEGAL �OTNO. BLOCK TRACTORADOITION DESCR. W HS� of I,ot 1 B10 l, Oak Creek Addi..tion Plat 2 2 PFlOPERTVOWNER �MAILADORESS . Z�P Preferred Builders Inc. 10267 University Avenue N.E. $dI60 5 ENGINEER 8 9 ResidentiaL OF WORK � NEW ADORESS GHGE OF � / 1751 RECE4RLAI0' l3a 7/ /'�O %� APPROVE� BY � SEEATTACHED SHEET PHONE 786-4300 PHONE ' LICENSE NO. PHONE � LICENSE NO. r� , C'F f dAILADDRES9 ' . I r �' ��� �Jj Vf��,.jPFi�N�: - "-y �-��r [��f=.i�ON$ qh�� ,,, � � — . t .. . �, �i:v t�i — � .. .. �'y ❑ ADDITION ❑ ALTERATION ❑ REPAIR C MOVE ConstrucY a 42' x 24' Dwel OFUSEFROM and a 22' x S2'. TO 7 REMOVE STIPULATIONS provide City with copy of verifying survey �e£ore capping. Provide sod in the front and side yards. Pmvids a hard surface driveway. NO�SERVICES STUBBED IN1�0 LOT: Sewer, in middle of 5treet, Water, 10'� S. of S 8�9iffiXSXYffixMYB�&FXxta� Sewer 11' Deep � $756.00 Park Fee Pai.d SEI'Ef2i�1'� ����NfCTS t,� t��)i •;� � F(?R tivir'f!4G, i 9EATf NG, P�.IJMt !!�(� �N�. �(�;,j3� �� �:8,��'�i�i�.� rrz t�n;� c 3e�qre r, � s��;; � � :;i r-;;!o =�_c�f h�,�t - �t��ctr;;c - �,�;<; .w. �.`:��;'.' �.�'� �;�' E?�, _ t, SEPARATE PEFMITS ARE REQUIRED FOR EIECTRICAL, PLUMBING, HEATING, ���� VENTILATING OR AIR CONOITIONING. WOOCZ EY2�2 . THIS PERMIT BECOMES NULL AND VOI� IF WORK OR CONSTRUCTION ZONING � SQ.FT. AUTHOR2E� IS NOT COMMENCED WITHIN 80 DAVS, OR IF CONSTRUCTION � OR WORK �S SUSPENDED OR ABANDONED FOR A PERIODDF 120 DAYS AT � ANV TIME AFTER WORK IS COMMENCED. � . � NQ, -0WLG.. UNITS � I. HEREBV CEFlTIfV THpT 1 HAVE FlEAD AND EXAMINED THIS APPLICATION �- STALLS ANOKNOW7NESAMETOBETRUEAN�CORRECT.ALLPROVISIONSOFLAWS �yq��qTION . AND OflDINANCES GOVERNWG THIS TVPE OF WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT SSSi%SO DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULA7ING WN- � SiRUCTION OR TME PERFORMANCE OF CONSTfy6ETION. S3OI.00. �� �� /� ��J /� ♦ � � PLANCHECKFEE OF CC iDATEi � �I\�' �70UP OCCUPANCYLOAD CU. FT. OFFSTREET PHRKING � IGARAGES SURTAX si%.ss SACCHARGE $425.00 TOTALFEE 5829.13 NESi { l ADDN. I � pLTEA. I � Construction Addresa:_� Legal Deacription: w` �S City oP Fridley R-t AND R-2 Building Permit Applieation �J� C. � �e � C IZecIC l�� �' �of � ��ac(� 1 oaK r�� 6 Owner Ne�e & Addref.�� 1 rC.�t�•c.� %�c2: �Jc�S -•c. �/! /r r��a�e-� • Effeetive 4/1/84 � %t 2 ' rei. # ? �6 ``�30� � Tel. # ? b -- 1!�°c� Address: �o �� '7 C*c, �ut t ' � �vC_ ��� — LI92Nti ARSA: tiARA(i8 ARSA: DBCS AHHA: OTHER: Attach to this application, a CertiPieate of Survey of the lot, with the proposed construetion draxn on it to acale. DSSCRIPTI06 OF B�PHOYSl�6NT Length �� Aidth 2`'� Height Length �- Z Nidth � 'Z Height Length /,o_ Width < o Hgt/Ground _ Sq. Ft. f°Ya Sq. Ft. Sq. Ft. p° Corner Lot [] Inside Lot [ U1�Ft. Yd. Setback Side Yard Setbaek Type of Construetion: -1-��� Estlmated Cost: $� Approx. Completion Date: � ���� Alt. A Alt B Proposed Drivexay Width If New Opening Is Desired: — See Back Page for Explanation DATE: � �� Permit Fee Plan Cheek State Surcharge SAC Charge Park Fee Sever Main Charge TOT►L APPLICANT: Tel. CITY IISE 09LY � ��w Fee Schedule on Reverse Side a i Z.� 25i of Building Permit Fee � 7+ E•50/�1,000 Valuation y OV E425 per SAC IInit � % ���Cw Fee Determined by Engineering � �� Agreement Necessary C�(l Not Necessary [] #� STIPULAI'IONS: � s �� .. ��::.� � ,z� J � � c�.Q.�Q... �.�Q � � ' �"� � `��c►� N_ 622 CfTY OF PRIDLEY ,�_,.,_�-rs�a 7 PUBIIC WORKS DEPARTMEN'� TAPPING APPLICATIOPi AND RE[FNIIT FOB INSTALLATION OF WATER � SEWER SERYICE I} 17us form to he compteted before a tap is made to any eristing water or _m._.. ,:__ r� - Address " lci7 Fs v.�. �i.i►iF �A oWna P2'a.�e.a.r�.� &-u'l�.rr.. . °' ��m� CHARGES TO BE PAID BEFOFtE TAP IS MA E— ASSESSMENT HAS NOT BEEN LEVIED AGAINST PRC II) Water & sewez rnnnection permitmust be registered before this Tapping Permit can i� issued. City supplies all material and labor for 1" or under ocater tap. Con- tractor supplies all material and labor for water tap:over 1", and alt sewectaps. � l�Ct o� WATERTAP: MaterielsIIsed: S '� � s �. . ; �'� / / st�PBu��� : TOTAL: s �/fis; aa SEWER:TAP: � StteetPatch: � : S III) If this property has not paid a full Lateral Chatge for its share of the water and sewer system, additional chacges will be placed against it. This will be in addition to the normal conttection and tapping permits, meter dep�its, etc. Water TOSELEVLED: Lateral: Sewer Lateral: TOTALASSESSMENT: S o'2.3'�/{�.J�-� ClerksSignatnre�����+ �O�"� � Sugt. of Public Wenlcs - M!P 3f76 White P.W. Canary Finapct Pink Prop. Owrwr 6olGenroO PlumMr ��� � ,s t,�-•.:� ° ,� . , � , � ` �� °� '� �'� �W2LDIM�. 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MINNESOTA SSd32 • PHONE 16121 571-3450 Auqust 1, 1964 To Whom It May Concern: Re: 109 Glen Creek Road N.E., Fridley, M[d Dear Sirs: The house at 109 Glen Creek Road N.E. is substantially complete. There are no known Code violations on the structure. Due to such short notice, we can not at this time verify that the plumbing, mechanical and electrical final inspections have in £act been made. The City Code, Zoning, requires that the front and side yards be sodded and that a verifying survey be filed with the City. There may be a need foz rain gutters alonq the west side of the gazage to control rain water from being directed onto the adjacent lot. If you have any questions on these itpsus, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh . . . ' . suu[a � � .. � . . PER . City of Fridley 91 16 ATTNETOPOFTMETWINS g�ILDING PERMIT �� � ; � � � � RECEIPT NO. ' ��._._� GOMMUN�TY DE�¢LOPMENT DIV. � / l �� / � � VROTECTIVE INSPECiION SEC. , . �U i � � /"'1 • CITV MALL FRIOLE� 35��2 NUMlE9 pEV D�TE P�GE Oi �iVROVED !r �.._.�• •,, 612-571-3450 9�o-P�5 3/31/99 j / JOB ADDRESS - � 109 Glen Creek Road NE 1 LEGAL �OTNO. BLOCN �. TNAC70M11D�ITION SEEATTACMEO oescA. pt 1 1 Oak Creek Addition Plat 2 SNEET 2 PROPERTYOWNER � MAI��DDRQS$ 21V PXONE Marv Kollin 109 Glen Creek Road NE 571-9522 7 CONTRACTOR MAIL ADDRE55 Z�P PHpNE LICENSE NO All American Roofin & Remodelin 4112 97 Ln NE Blaine MN 55014 � AFCrqTECTOROE5IGNER MAILAOORESS ZIP PHONE UCENSENO. 786-6676 5160 5 ENGINEER MAIL ADDFESS . ZIP PHONE LICENSE NO 6 USE OF BUIlO1NG Residential 7 C1A550F WOAK � O NEW ❑ ADDITION ❑ AITERATION �] REPAIR � ❑ MOVE O REMOVE 8 DESCPIBE WORK � � Reroof House & Gara e(28 S) Tear-off 9 CMANGE OF USE FFOM Ta STIPULATIONS � Underlayment must comply with the State Building Code. CONSTRUCTION WORK AOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. ; TYPEOFCON T. OCCUOANCYGROUP OCCUPANLV�OAD SEPARA7E 7ERMITS ARE REOUIREO FOR ELECTRICAL, PIUMB�NG. MEATING. VENTILATING OR AIR CONDITIONING. � � ' - THIS PERMIT BECOMES NUII •ND VO10 IF WORK OR CONSTRUCTION ZONING SO.fT CU FT AVTHORIZED I$ NOT COMMENGED V�!ITHIN 80 DAVS. OR IF CONSTRUCTION . ON WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF It0 OAVS A7 ANY TIME AFiEfi WORK IS COMMENCE�. NO. DWLG. UNITS OFFSTREET PARKING I HEREB� CEIiTIFV THAT I HA4E READ AND EXAM,IN�O THIS APPIICATION 1 $T�llS GARAGES ANOKNOWTNESAMETOBETRUE�ANGCOF(7ECi.A�LPRpVI$IONSOFLAW$ yA�UATION � SURTA% ANO ORpINANCES GOYERNING TM�S TYPE OF WQRK WILL BE COMP�IED @ WITM WME7MER SPEGFIED NEAEIN OA NOT. THE GRANTING OF A PEHMIT WZf 399 ' $1.20 DOE$ NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR C�NCEL THf pENMITFEE SACCNARGE PPOVISIONS OF RNY OTHEN 57ATE OR LOCAI lAW REGULATING cor+- ��4.75 . Fire SC �Z.GO $iRUC710N OR TME PERFOAMANCE OF CONSTqUCTION + � / G�AN CMECKFEE TOTALFEE Eo� - �'3�'99 License SC $5.00 $83.35 e��tuAE �CO � sf.iOAOA�u*wOA4E0aGEM� iD�iEi yyM N �RpPEAI ALI ATED THIS IS YOUA P/E�AM/jIT�{ � S�GN�iV�iEO�OWNEQ��iOWNEABUR�EA� �O�Ifi � p � ��p" � " p( �NS t a W NEW [ ] Effective 1/1/99 �D# � ) CITY OF FRIDLEY ,e�,�g [] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 1�D BUILDIAiG PERMIT APPLICATION �G��`IQ ConstructionAddress: i D� G� e nG rc �K R � \— Legal Description: Owner Name & Address: r �! � a l 1 Tel. /t_ ContraCtor: R �� A m�x t c a^� i400 f�� 6 Re n�t ad e�� n y MN LICENSE #. Address: '� << 2 R� f`' Lnr � ti. Tel. #_ LIVING AREA: GARAGE AREA: DECK AREA: OTi�R: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT I.ength I.ength I.enBth TeQ,e-oFF 571- �Sa a ��(�o ?'�G -�67G Width Aeight Sq. Ft. Width Height Sq. Ft. Width HgdGround _ Sq. Ft. �onstruction Type: �Y�Koo� Estimated Cost: $ �C� �/ (Fee Schedule on Back) Driveway G�rb Cut Width Needed: ,Ft. + 6 Ft = _Ft x $ _ $ — " "� DATE: 3" 3� - 9^1 APPLICANT: L y.l�n� _ Tel. ���� -G � 7G Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL SITPULATIONS: � , �J $ o�. 5lb $ /. �O $—�-- $ �-QO $ $ $ $ � �� CITY USE ONLY Fee Schedule on Reverse Side .001 of Penmit Valuation (1/lOth%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residendal Contractors) ; , Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] g _ ,._ lp�llaS4. �� Building BUILDING Pernut No. � (D�' Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da,�'�a�E� 17 Z00 763-502-4977 FAX EFFECTIVE (-I-09 onre rebr�a�-„ 11� �1 Yovae-nv+�Lnn�a�ss Ni�o�e.J�en.te.n @-�ec.rec.�o�acc�r,-� SITEADDRESS�E� �rE,P�C_ i�,pqC� THIS APPLSCANT IS: ❑ OWNER �ONTRACTOR PROPERTY OWNER/ NpME: y TENANT �p�ss: i Ool U1e Y Rd eTTV �r i d teu srn� Mt�! z�P 55`k3a PHONE: ��a- s-� � - asaa CONTRACTOR Nnrv�: Miehe)lP We�ss -Crew� SUBMIT A COPY OF STATE LICENSE i! o"Z O.�i� �3 i0O EXP DATE YOUR STATE LICENSE ANDCERTIFICATEOF ADDRESS: c'1loSO m;��e.ti,�.a. Av� CITY M(�IS STATEf1l4�ZIP��gOlO INSURANCE pypNE '�. - - 1 i o� FAX (D 1 Z- - 1 $ a PROPERTY TYPE �Sa�GLe enMavm�w coNSrxucrioN S�ze ❑'IWOFAMILYMEWCONSTRUCTION STORIES PERMIT TYPE � ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING �OTHER ❑ SWU�9NG POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDTTION ❑ MAINTENANCElREPAIR �REMODELING DESCRIBE WORKBEINGDONE:RECh(J' VC D�hol � C1CF�� GAb n4I"'S � Y�LTOVC W0._l�. SIZE OF IMPROVEI��NT LENGTH WIDTH HEIGHT SQ F'I ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACI�D GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACf�D GARAGE 3. List of strucWral members to be used PROPOSED HEIGHT: SIDRV FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑So�t ADDITTONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim L Site Plan/Survey showing the exisung struchues ❑ Other ❑ Fascia and proposed project. 2. Two sets of construaion plans WN]DOWS 3. EnergyCalculations IN EXISTING OPENINGS �Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPEOFWINDOWTOBEINSTALLED NUMBEROFW[NDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: Pumit Fee Plan Review Fire Surchazge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Pazk Fee Sewer Main Chazge $ $ THE 1997 U.B.0 FEE SCHEDULE) See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuauon Minimum $.50 $5.00 (State Licensed Residential Contractors) $2000 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21°$ �450 Conservation Plan Review Fee Deternvned by Engineering Agreement necessary ( ) Non Necessary ( ) THIS IS AN APPLICATTON FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and acewate; that the work will be in conformance with the ordinances and codes of the Ciry of Fridley and with the Minnesota Consiruction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requ'ues review and approval of plans. SIGNATURE OF APPLICANT ��inn�rn.� PRIN'I' NAME (�ji cc�l e SCl1 cPf� DATE o� I 1 o�i� O� PERMII'S ARE i _� FEB-O6-200A OB:OAA�1 fROM- � � puli Qut wez 2 CODE � 2 y 0 � F � m m m m � r—ser oisiozo F—oaa �r�� � 1��� — � �C�/l, . �25 �l�i � �� � � _�� �5������ � � � ��� �� . �� - _ add panels and doors PV112730 PW2730 panel ---rp cut FD36240fi F. na .-c�� � w�;11 --{� � �cW�t�aEd iS ►�C'� wvt�i. �' � �� � � a�= gap wl v�f6 W3024BUTT ¢ C F2 t . y y a �` �JSe I 'f., � � . _.1 � � :� w vcriflcar7on on WR3324 add panel and false drawer fro T�P'I 9I2R.86 f to cover side fd2115�6 s � � Z�\ �N���I� �—� — ued oi oopicC �af1QS3 . Prin42d= 1/16/2009 Re has Lncn pafd or job _ FE8-O6-Z009 �8:09AM ' FR�1- T-987 P.01i/020 F-004 � � 120" 13 Z,� 33" �,�� � �4 „�� 24„ � � N � WR3324 3Q24BU N ,D EZF22442R '9 � � K N � � ;�� u �'7��1) 1 . _ /J � ^ � c� �° .S� M+-� S luS�'x.���3s � �� N - � :- 33REF-2D � � � � � � � W _ � � � 30-GAS-RANGEI E�R33R.WSS c9 � ��a�j �t ia 4 _ . � All dimp�ipng _grsc designatfoas Th7f �9 sn oripml tlea� �md e1usL Dcm}�cd: L162009 . . � � givm s�e eubjcct m verffication on. mc hc tGlesised or copicd unless � Prinud: 2/52009 .. . � jeb Six and aqjus[men[ b fT,jou .. .. spplicnble !2G Ras bean peld oe job . -. � . rnndidoas. � � oMa* placea . � . � � � . . . . � . - 11608923.Wx � � 513 Drewin6fh.1 . . � PEB-OB-2UOA OB:tUAN FRWA- T-987" P.O18/020 P-004 t- I �� � =� � � rn 11 25 a" 2 8„ EZR33R. 33"- 2 w ��� � ��� slven am subJeec m verlticaHoe on joD � md ¢djns�ent m fit job eondiCOns. � � 3 N A N 17 24.dISHW -2 "---�-9 S" „ , 32;6" , xmaxa or �op��a „n��sx . mble 5x MS been paid or job plmcd. &l4 FEB-06-2009 08:10AM FROM- T-967 P.019/020 F-U04 R . �. . � . . . . . . . . . � . . . . � .. . . � � i 119" ,� �� 2�4" 3 �„ 2 ��� 9 5,. 16 ee 12" � 8 ,� 24�� �� " -i lI�I! � � PW273Q CV N lf7 `� _ �� � - � - - FD3624�6 FD211506 r-�, �kv TF6.84 d„ d. B36Eiu I I.z BWBT15.2 Cr1 M ,� 24"—.E`�24" 9 6,. 16 s 9" 32 2" „15° -2 .�� N3 Qim�nA�OM _a7xe deelgoWoas � Y33s ie M ori8i"°1 deri�a md mus[ . 1?e.ai�ed: 1/1612009 �. � � pvea ore svbjeei m waifiauion On � no� ho relcaud or copied unlass Prirted: 2/5(io�9 . . . . jab uite m6 aCjus�effi m�flT,lub �. applieaLle Fce Lne bxr� ps:d or jab . . . � w¢di4o¢s. � ordcrPlacetl. � � � � . � . � , ' . .� .. � . � � � � �� 11608923Adt � � E1 s Dravimg tt: I Building PLUMBING PernutNo.: ` a�°I Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D�°dWA '� 200 ' 763-502-4977 FAX ��c„v�Z�,9_ov DATE "O %/� roua E-a�uL.aonxess i¢le,� � sourberP ( k 5- Ca SITE ADDRESS �O % � ��.� rPtK Q04!`� THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY N,,n,�E: M ar� t n a l� � n 4 n, �WNER/ ADDRESS: IO9 6ll.s �rtl� �ol. CITY }'/�� S'CA7F�Z[P�Z TENANT PHONE: 76 '3- 3^T/ — I Sao`Z CONTRACTOR NAME: SO SUBMIT A COPY OF STATE UCENSE # OS9 3 S� EXP DATE `a� :3 / O� YOURSTATE LICENSE, BOND AND STATE BOND # ��%�i// /% / EXP DATE ia- 3i- 0 9 CERT�ICATEOF ppDRESS: J�O• �Uy� JBS Ct1'Y C2cC /i, STATFjY�'J�ZIP G! �rsuRaxcE PHO� 7Es�763.i�rytt�9a FAx 63- `ly`/-�3�5"7 PERMIT TYPE � SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNfI0U5E TYPE OF WORK: ❑ rrew �fase[ nc�rrr DETAII,ED DESCRIPTION OF WORK Ad� � � i�. � D. W. FEES ARE BASED ON 510.00 PER FIX'PURE, EXCEPT WHERE NOTED. FIX'CURES: (INDICATE TOTAL NUMBER OF EACH BELON�. MININNM FEE assso. BATHSINK/LAV FLOORDRAINS SHOWER WATERPIPING BATHTUB 6A5 PIPQdO (NEID CITY LIC) S WIMMiNG POOL WATER SOFTNER ($35) CIATHES WASHER �f HITCHEN SINK WATER CLOSEf BACKFIAN PREV. ($15) � DISHW ASHER _ LAUNDRY TRAY WATER HEATER (S35) FOR IItRIDATION WATER METEIL OTHER Isumber of fixtu�5tss �'S1t}.40 � x $10.00 = $ Number of fixtures (r�'$iS.QU x $15.00 = $ Numb� uf fixtuxea Q$35.00 ` i x$35.00 =$ State Surch S "SQ s3s.sa To�=$ 35•� THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I he�eby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the wock wilt be in conformance with [he ordinances and codes of the City of Fridley aud with the Minnesota Construction Codes; that I understand this is not a permi[ but only an application for a permit and work is not to s[art without a permit on si[e; that the work will be in accorda�ce with the approved plan in the case of all work which requires review and approval of plans. SIGNATUREOFAPPLICANT n��l�'` _. PRP]TNAME� �!�`rilGi DATE �'✓ ��/ � Ntji�:: SEPAR ATE FfiRIvt1T'S A�'E U`TRED FQRBLiIGDiNG ELECTRICAL AND MECAAN3CAI, W9I� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: '763-502-4977