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P - 36676. From: 7637834566 Page: 2/2 Date: 4/28/2011 11:50:22 AM �A11(�,t1�g ��U��iT�(jr Pernut No.: _ _. Ins�ections COMMI;+ ,RCIAL AP�'LICA�'�C?N Rece v y: 763-57Z-3G0� CIT� UF FRIDL p����� �� pq� 4�27�11 XQURE-MAII.ApD�SS ��'rickson�ihearteric]�soti.aom slrz'� rwnxESS 6 3 7 9 Hi ghway 6 5 TENAN'�' SUTCE NO. PRO�ERTY N� OWNl�/ nn��ss: �,�' NA1�TT �' . STATE^Zm' e�zo�• CCl�t�RAGTOR N�: Er�,Ckson PHC �� A Cp� Q� S'['A� LiCEN3E �f 0 6 0 8 0 B^ PM 1E�CF DATE _�.2 31 / 12 Yt7LnRSTATE ���ss: X471 92nd Lr� 1�1E �� Blaine �a� 1�7y�55449 ��N�� p�p� 7.63-783-4545 �,�763-783-4556 APPf ICA'].'IOI�T - �RMTT TYPE � 1NSTiIiTfIONAL �+M[T�,'x'd k�A�iLY � Sw[Nllv�iG ROOL ❑ TdWk�i�OtJSE O ODMn�e�C�.A.UINAUSfRIAL ❑ 07f�t TY�'� OF VN08K: ° t�w ��[.AC�rrr Q�,z.a�xa�aN�on�t, DfiTAILED D�SC�p7ZpN OF'W'O�£ Relocate waste, venC and waterline.� far 2 washing machines . ,_ Add 2 gaslines Ppx dryers. T�sC x2PZ .e:. •:.�.•�•t::e:`:::-c;::•:-••.:::.'•:;r:::.:z�:.�,:;•:...•;.:'•:��:::'�";:•..•. :,-°;;•;r: •.• •, ... • . :• :. ,.::..� : •.:•::..;; ; ...•..:•: .....;.... , � ..............,,.,., . . ...... :. . ., ..,, . . •. FD�17�S..•�!?i�I.C�i►;�E:�iYti9xt.�lEA�:4i: '�- •:•:;..;.:�' .:.'.,.::- .';; .:;` •';;:'...:.... •...•. �•...•;.... .:............. ....... ..........•:......:;:,;:.:;..t.:. ":°••..;.,::,'`: `'.•. ,�...:.,� .... .:.:..:.....::::,-;,....... . �A . �. ..... . . . . , . . ...:,: ••........ ... . •:.. �. ' ...... ..... . . �CI.O'�S WASf�tt _ f7AOR A�if#1NS _ RPZ VALVE _,T1�VAx, _ Ar5[3wAS�R ,_,,,� GAS �Pao�nv� ancKPLOw �tEV. � � WATEIt trP.Ar�it _ A�tJKING FOUNTAIN _ CsRBASE T'RAA ' _, �LQOk ARAINS _ W ATEit � _FAUC.�'i ,_,,, xci�c�au snvrc _ sxow�r, _wa�x rrrrNc _�T,B w.A�STE TANx _�,A.UNDRY TR.AY ^ 5L0� 5�[C _ WAiER SQ�'� � _LAVA'�t.�' _ 3WIMI�fG PpC1T. W,A',C�t CLOS�'t �..n4a^:_%«: ��+a:!.r..:i: ' _ "y,� _ ' ' ' _.....pAq. ' _ ' �. - .w�x.M'I .::�.� : - 9 �«. ' i-.'�,: 1... "... ..�.�t1:. ' .:rm ....-.....T...ry.y... ... . Y.:�."7�6 �,+,�WyY '_"(+. - :•; y'.. ' �:�iw — - - r.. - ...��..�. . �r� — � � �nWN' � � � �.�r -��'�:'"' — ""'f".✓� .n • � � ��....... — — .. .. �� '..fµxwx'�� _ - _ - . .. - - ... . . � -- - '-.i�.-, ...�... - ._..� _*'.�=k!°' ._._ . _ _.�.._...nw..... ...c�:...,.��.,�;....e..m�_;_.... ....:� ::�.........��a.r:::�a•. ....,..._. � �... .,.•" --r.:v:�� ...,.. . �,.a.;....� .,,........:.p.,�..t.:-�..2'.�w .��...., . ..;..��.�,�.e__.,._.._r�.. . .. . �.� ».. ....:.....-':: ........ . . ..._...•.va::_::.....•: ..I�e; � ...s�.T��e..:'.»•'s•:::-. 's: ro� a� � � a 5 . 0 Q � A11 fees are4:.:: _. _.._ .,,.,. _:..� �:::�:;�.r�;.....�. w::.:.._ • � ...:... ::m�:::�:-�. . ..__.._. Va[u�blOAt based oz� 'usiluat�on, inclnding'dxe c4st vf labor and matezASls, Pcamit �ee $ 3 S. 0 Q (1.25% o;f 7ob Valuatitin / Mimizf�u�tt �$35) ' ���*$� $ � Valuation X .0005 � 7'o�s.l Duc $� 5•• Ma�C C�ccka Payable to: C'fty mF Fridfey 't'�S IS AN APPI.iCA,,'X'x4�1 �OR A PERMiT-NQ'i vA,L�? UNPlL PROC£38E.1� I h�eby applX for s buildi�ug �t.xtYtit at�d I ac�Caow�edge th&t tho informatirn'� above �s camplets and accwgte; that the woa�k w�J,� bG in c�ouFoxxuance with the ozdinanccs and codes af the City o£ k'�iclley �d with thc Mi�nua,eso�ta Conseruetion Codes; that I un�d tbu.s xs na � pean�uit but only �n app�icat,ivn for a per��it a�d work is not to srarc wAt�►ous a�c�mit; tlxat the work will be in acco�ce witt► thc ap�rovod plam i�a tb;e case of all woz�C which rcquires reviiew and approval of pZao,s. �,A,� OF APPLtCAN'Z' C►.pi,7C1� "c� �Z . S14'�T,A,'1i1� OF APPLICA�1'�' . . •�•.::;;;:�I, � �5��13C)'i�':'.�:5��.�A;�� ��:P� " : ':�RE��.���ED�FOR��3UI�:b,�T�''�EI,E�IRI.Gi��:��tU::��E!CI3�NI�AL'WORC� ': . �r�y u� r r�.auey .tswuaing 1Wspections Departme�i 6431 U�ou'tversi�ty Avern�.e �TE, �a�idley, MN SSa32 763-572-3604 FAX: 763-Sp2-4977 � ./� ���