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P - 44540,„,,_v ��_ �_� _ � � , v From: 651 429 6770 �� Pa�ey 5/5 � Date: 4J13/2011 11 ,22:44 AM `� B�uildi.n� In.spections 7b�-5�2-3bU4 763-SQ2-4977 FA,X DATE y�/ .�'^ � $1'1'� A1]DRP,SS+� 'C111S Jll'i'LICANi 1S: PRQPEltTY ciW�v�'.w TENANT PLUMB�N� :1tESI��N'�IAL A�PLYCATIaN �� 1 � �� i` �L�J��+� f?FI�HCPfVR 1.1-Z011 Y(�ljR E�-MAI4 ADCjR�SS �@�+f! ri..�� T� OWN$R 41CONIliAC7'OR � ' - �t �.� ' ��. 1:�� . - - - , . L,�!�`� � : � �� � �`��� � s �'c � � ° � � � �► � N11I+�: R�, S'�"�,�,r,dG�C�� _..__. .. ..-• - -- q�DDRP,SS:,.....��y,�,� `� •r4✓c�l ,� C1TY%,�r�y�� �4/YG SfATR„�r xln�.�Cv-� PHUNB: I%/2 — fI�9...'' �CONTRACTOR Nn�:,��(��L,�,��` ._ SUBMET A COPY O% STATE LIC,E'NS� #�..��� f,�—�.�1 L�XP f�A'ITs YOUR S"i'Arl's - — I.TC�NSFM BC7ND AN{7 8'M'fE BOND � u� �"'LO - p►Z,�,�„ P.XP t�ATii CT;RTfFICA'i'� C)F A�uR13fi5:_„�T ��'�'� �/P� f?Pl.�anl��'7�ITY�/f[I yl„L ...�STATPwa?�1 T.IP' ��4 nvsuitnNC.� Pr;or� �'z,��" y �.-4 �-940 � __--, r•,►�c d , �'/- y„�.4- �' 77,p _..... ...,..� PERMIT TYPE TYPE OYr WORK: Q R11V[,iL6 i�AM11.Y ,■r'i. �.Ti n�rn�c.FD �ESCRT�1yi'tON Of�' WORK �' x.4 �i ��— d-�"-5�-cr_ G, �. � f� TWQ FAMILY O TOWNHOl35� �I Rk�PI.ACI:M$W1' 3 , � j � �,� �it� .. �. �--- N��S AItEi BASGD ON S10.00 PER FiXI'IJRE, F13CCF.1'T WHF;[tN. Nh'1"�1�. F)!CI'URk�S: (IND[CATC TaTAL NUMS�R QF EACH 13131.OW� Ml'NIMUM I'�E S35_SO_ BA'fH SINK/I,AV FLOqRDM1NS SH()WK1t WATERi'IPING _ RATFfPIJR � GA"3 PIPINU (NL�BLI CI'1'1' 41C) 3WFMMtNQ Ptx]L WATL'R SOFI'NGR (S3S1 CL07'HBS WASITGR KITCIIBN S11VK WA'1'i'sRCLqSFiT RA[`KpI�W PRfSV. (;151 DLSHWASHI�R _ LAUNDRY TRAY WATER H.�A1"t�R (S95} � FQR IRRIQATiON _ WATER M�7't.'R ,_, OTI�IGR Nurni� af fixi�es (a� S 10.00 x S 10,00 •- S Numb�' af�u+es Q$15A0 � x Si5.00 - S.. .. __.__� I�umber of fixtwos (a� �35.00 x;C35_UO = S, State Suroharge '/ TMS 1S AN APPf,I(;ATIdN FOR A P@RMIT-NpT YAL1U UN'1'1l. PRC)C1333EU 1 hereby apPly %r a plumb�g pem�it and 1 acknowlr.dge UtaC thc infarmation abo�e Is camplde and accuratc; tha1: HtG work will be in eonfonmanoe wilh ti�e ordinsnoes sr�d coda af fhe City af .Fridiey and v►�th tlie Minnesa� Const�uction Cades; that I under��nd this is aot a permit but only an �pli�aticrn fae a p ,tt snd worl� is not to start wi� a permit +da silc; lhst tl� watk wip be in aae�+dmce with th� �pproved plan in ffie�� ePf�Il k� ich requires review and approv of plans. � �/ SiGNATURGOFMPLICATIT D'�C�! 1/ .. ,� _�,nf,�PKIN'f NAML_, �i��iu��� C�ATrs �y1 r�,�„� City of �'ridley Building Inspectivns .�epartm�nt 6431 University Avenue �, Fridl�y, MN SS4�2 7b3•572-3604 �AX; 7Fi3-.St.12-4977