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1'Fi[S IS AN APPL[CA')'!ON FOIt A P�RMIT-NOT VALID CEN7TL p�tpCESSBb
I hereby apply for a ple�mbu�g permit az�d I acknowled�e that the informatfon above is cona�tete snd aceurat� that the wo�3c wiIl be ia
r,or�f'orn�ance weth the ardinances and codes of the City of Fridley �d with tl�e Minnesota Gonsfieetion Codes; that I understand this is
not a pamit but only a� applicstion for a peTTr�it and work is not ta start without e pe�rniT on site; t.�at the work wiil be fn accord�nce
�th the apPraved plan in th •e f all w rjc which requires review and approv ofptans ,�,�f� J
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APPRtiYXi INSPECTURS SIGNA t`U � �°°' .. . �,.
Ciiy of Fri��ey
Su��dfng Inspectfons Ilepsr�taou�ent
6�3 � Univ�ity Ave��e NE, �r�dl+�y, MN' S5432
76�-5?'2-36Q4
FA�; 763-502-4977