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P - 371491 I � i i From: 612 822 5408 Page: 2/2 Date: 11/2412010 2:56:50 PM v� <� C� ,.-,:.,.. a �"d ~� o° • o a�- G- �- Buildirig 'F'°i,>,, �;�� MECHANZCAL Perxxut No. � a �� 1 �l r �;, r � � Inspecrio�s '�':"''.-Y ''` RESIDENTIA,I. APPLICATION Received By: 763-572-3604 CITY OF F��LEY pate xec'd:l� � v 7��-SQ2-4�77 F� EFFECTIV� 7-1-2010 DATE r�-r r/�/ �� YOUR E-MAII, ADDR�55 siT��r��ss L1�0 Fla�haw-�,� �.s� TIIIS APPtiCANT 1.5: ❑ OW ER pNTItAC7'OR PROPERTY NAME: �p � f r�„ �/`���,i /L ;' r a.i'�1�,� awrrEw A„�R�SS:tr� , � T'ENaN'�' �a f d� � n CTTY f- -;,1 �c �, sl'a�r�,r`?���P � Syj PHUNE:7 — S r CONTRACTOR Cl7MYANYNAMF,:�vr�crGl�ro '�'�q 5 ��� Z � r� k/-'n �/�,.,.� %>��^ � SU$MTf A COPY OF ��TACI' YERSON: �� s!� � y Y(1XTR $'j'ArE STATL L1C�;NSe a G� 5 9,�. �/ �?CP DATP. j�' �� f � L10EN5E WITfi ADDIt�SS: �C(a% �t'' � cr� ST�" `"II� CfTY �''-'��, �� StATE„�,UtIP SS`i�/( APPLjCATIQN pHON�.,(j� - $�a � S� � � FA7C —�� PERMI'i' 'I'XP� ���TLE FAMILY ❑ TWQ FAMTLY TYPE OF WQ�K; � MFW �1tBp1LAC�MENT Q 9'OWNHOUSE O N.,TERATION/R�MOU�L DETAILEI7 T7ESCRIPTION QF WORK %� �/) iG)� � Zc,, r/t o� Cr �_ FF.R$ �� $��D OlV $IO.OD PF.R E'17('r[J►�C, EXC%Y'f WHERB 1VOTFD_ FIXTIJREB: (INDICA'fE'1'fl7'AL NUMBER OF EACH BELOW) PROYITI� �I�AT 1.OS9 CALC'ti YF.R MAIVUAL J 200d ASHltAE HANDRpOK. Equipmcnt ingtall� MFG: MOAF.i..; SIZC/D'fU MFG����r; � �''� Mqner; (v,Nlc/G SIZ�lDTU ��_„_, MFG MOAELt _A/G 525,00 I'IRLYLAC� (C;P.S) $15.00 AiR Tp AIR EXCI�WC�rR �15 PIlZ1iPLACE (WAQD) T3S.00 BQiI.F.R $35.00 �FURNAC� �35.W GHIMNF;Y LINER E 10.04 GA5 DRYl�ti $10.00 _nUC'r wORK 510.00 CAS Pu�1cvG �to_ao � rA'' ' :��r;' . ��.�3M;: ;., cte;�si,r = ;�„�..,,„,�,���,�o-sa�.,,�ara ' s •u.r�d•iv � C;AS RANCFJOV�N $1U.UU �� � _N�W CiA9 CiRILL $]U.W _CAS UNl'C H7'R $10.00 _POOLlir.Al'�12 535.00 Y�N'1'1LA'1"OR $15_UU � ; ,., . w ... .::.-+kp,..,yir g� n� •_�n4: p. a i � `µ�n'::�i:�:.•.�:ii'.x.• : .•. S �� �ti'� F � � i'� ;?,�:: ;" •'.�� �j 3 �r, �'�;�i:: ;E��Gi' .: �r.?; F� � � � ��i� b:�X-;•'•�':.:' �.�.; �,�� ��'x"'��4��!'ryr'�•� ' �'1=Y � � � a �,'��'� ;��ra.sis ' . ' ' •': �"' �' �,�;!?��A,�9i��t � * � f � . _;:�,� {I ¢ �'p,t • ���� � � . .� ��' ti a� r���, # �' w; r 7 fl� S s�"�i F `''r� s "� �r�a � ,;� ; a;; ��. �.�,u . �'. , � "�' ��„c; ��,��� 1` � �, SIsf� '.'��,� r'"^ � y',�, i,� 4 ;� " , � , � �a^", � k�;�..�,;�� "_. ". �. � � ��„ :.'n��,:�,��1 r��'��,;. , : ��� � t �#1�����ii;11��?iR;9��;.a�����,z,���s�.,.;.�: <�:�<�r ';: �1 #'�A �::� �� �`�. �� , dfl�+n 1 1� ftltAfr+�;rir,ya...;•�r•.:-.-t, .. � �f� :•� ';r'��� +�;1�ri',"�a, t:`� "• ''ir� � „�+ ' ' t ir,j;� � �ip9¢}ei.�r a :• '.ti�� wa �� +1�1u! a` '''r�F ' , `+,,,��� }jp y,1f�1 G `i jt�}t �ayy A �lJ��µL;r,�,,1� �G"� ' �� � �,�,� ^1' t, � t� i.'� "'vrVl�li� }�VR�2� F °a•" " ,.,i7CA. �d�l})S��1i�i�hJl,�.�lii,:1!!ihi�..t..�i,.L.a":...:. �'... ��� , ..��,.. , � �� : ti �y rvu, ,��, • � naKm,��ru � �sr� �r p � � ;,.� x ,+, ^ � r � � � ,; ������ � e,.�.�..... rr� +;� + a � �. r k e" i ' y �rI[F1VI� ,S"4(I�b r� w . �< <' ; � , � . ;w R y ::F , ��., �Kx } ��, ,..� ,�y��. x," ��i,..:::;. ��C1�;r + r _ ��,,� .+i �1�',�� :.��.rr� ssi �'" , f '1'HIS Iti AN APPLTCATION POR A PLHMIT-NC)T VALf� UNT[[, PROCESSED I herehy apply for a building permit tind 1 aeknowlcdge that the informftttion abovc is complcte and accurate; that the work will ba in Gonformstlee with fhc ordinances and eodes of thc City of Fridley and with the Minncsvta Construction Cades; that I unde�staild Chis is not � permit but only an application for a p�uut and work is np� to stArt without a permit; that the work will be in accordvice wiih the apprpved plan in Ihe casc of all w�which requirc� rcvi�� appiroval of plans. Sl(iNAT'IJRP. QF ` NR1NT N City of Fridley B 'lding Inspectians Department 6431 Univ�rsity Avenu� NE, Fridley, MN 55432 763-572-3604 F,A7�; 763-502-4977 r rrd nnrr � � �