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P - 48221$uilding p�,�]'�j�j�J� Inspectiot�s ���YD�I�T�'IAL APPL�C+A.TI+�N �6�-s�z-��c�� +cY'�'�'i� �oF �IT�LEY" 763-�02-4977 �'AX a;t��t't�ivh �-i.xofr nnr�:.,.,.:1.�-/q- If ---�---- -- VUrnii:-i�i.n�nn��s.,_L�i�/..rr�� :�► �7: AI)uitESS ; _�_ . ,� ,' ' . . . 'rH1sq�.TGANTls: �'c wNr:k GI4:UN'�l2r�GT AVlL'Al �I ��. Fj��::.� +Cl'�V1V�ii,f' nu!)�i�',:�ti: T�IYANT � v uM nrnt��`,., �,,,� 1' 1' O� � ' �rn•rE:i:[cE.r��F AAIC7 y'i�n'�'f: t3c.)Nl5 # _ UF Al)13Rl..Ea'S: �-�,, _ t'Ii41IJt: 7G s� ��YiMYT 1'YP� � ���i-i: t�nMtt:.�r 7"YF� UF'V1'�RK: � �r.�uf �'ermit No,:� Received �3y; Datc �cc'd: . _ �w . .. _. �;� u,ar� �.� -.�L- lm� ,,,_,,,�. F.XI' i�ATE - ! ' t< ' L� 15 �, ., -. _ #�'A7C /L t3 �wt� ��rr.�r c� ro�v�rlo�s� ■!i#s�l,nC�EN'`f �l�iL t��x�r�.�r� ��s��.��tbtv �F wr��: � � r� t/� -`i�i�/��"'' .� � �",'. :�� � NI?ii:� nRli k3A51:17'<NU Siaf ut3lxl�.k d%l.K'Cl il7f:.liXt'E:4�'t' WFtl;itli 1*1t )'LY?1). E�IiC'fi!}tF„�i: (1N1}kL'A'FF:'tl7'E�!\[, Nl1iu�31?R (N�' �FT RF.i.QV�, M[NiI�M t�`h;h; S�S::SOs _ BA171 SI1+�CCFI:/sV hL(S+ci}t L}R,�.rN:�' ��HC1W� _ �Y/4'L8R RFft�3 ,,,�„F3AT}i7Y1f3 fiAS}'li'INC3(NF'}ol)Ll'i'YI.IL"} ^S'Vr!ilvlh�AiXGE'C)C?i. WA'Y'$R'88F1l+�ER($3S} _Ci�fYi'klfih'WA4t�TEi�': ��I�t7'C;HisivSiNK _'4YATE1tCLUSti't' ��3ACyC,Fi.b�lxtPRHV.{t�l�) .,,,,,,, i?i4FiWAS�K .. . . I ,Al JN1]iE2Y '1'ltAY _WAT"�i� E�EA'y'EtZ (S33) 'FO�:�AlI�@+i ._,.,, li�A'i�Ek h+l�%RR „�Q'TCi�t Numbec af fixtwcs � $i0,40 x �10,(!p �'& . �lurnb�x o£�'ixtur�s (r�, S� S.Q(� x �t5,00 = � Nurnber oifi�ctur�s � ��5.00 x $3S,pQ �- ��, State �urc��rge I h�xeby app�y for a�+lumbi,�i canf�rrrianee with the ord; � not a p�mit but qn4y an �pp� with tt]c sPprt�ved pian in the �ic��anY•��xr: at� h���_�c�r+rr� $ 5>00 ;� ��� . , .; 'flils t8 AN AE�!'i.[ 4N FOR A 1'�RMIT-�T(�C' V"ALTC� �2+�`t7L i�1tOCBSS�C1 rmit a acknow e that tha infOrination ab�sve is camplete and a�ur�te, tbst t�he wor�C wili be �'i y and codes ii�ie �Ct ridley �r�d wiCh the Minnesata Constrwct.icyn C�des; t6a�i un�sta�d tfiis is an for a sE a �s not rn start wirhnut a�re;rn�it on site; wortc wiA be i� acu;e��lsr�e ��}I�fi!"Qrtc i reviewanclapprav�a��l�ua. /: 1��� . n �.,� ✓,.� Ci#y af Fritil�y uiI€ting Inspect�4ns l�ep$rtmie�r� 6431 Unive�rs7ity Avenue hi�, �'ridl�y, �IIV 55432 763•572-360A �'AX: 7�i3-SQ2-49'i7 Wd �Z:OS�Z LLQZ�6421 .���q 611. :a�ed 9�t�9'�S'L€9�. :uto��