Loading...
P - 40827From: 7633838500 Page: 219 Date: 9/27/2019 10:15:32 AM Building M�+ C�IAN�CAL �e�,�t No.�=, .T.nspe�ti.c�ns R��ID��TTIAL .A.PPL��AT�OI'� R��erv�t ey: ��3As7�-�60� �ITY 4]F F��Ui.��� �!���a'`� /��-S�Z��T�77 Ftd►�f. L•ft�iCTlVF 1-1-2011 DATE_,,,�� �_„ C)UR E-MATI. AC�IDRESS . STTF; ADORES'3 Jy;���„�r.i��'�!� ��"4'-�^'`�' �J� — TFi{S �E'P1:.ICANT 15: O l7WtHER �C�NTRACTOR rrc�arr,na r NAME: ,,Gf,�%',f�,���/�G'�"I't� � — OWNFRt AT)T�R�SS: � '%. � _vsrc/�cCY'Y ��;NANT PHOrv�: *' �% � �r' „r �`QNTRACTIJxt CoMPAN1' NAME: `��+i � Sl1RM1T' A C�PY CfF �NTAC7 PER501J, � ��,,.e+�_ YQIJR STA�TF ST1lTr L.10ElY5E!! Q� ,��r E�P 'FF.. _ LiCT:NSfi WtTH ADDRIsSS. '� i �►Y� A�f-�-� APPt.1CAT[ON FFTONF, ����� r FAX_1%�l�'� �EItMtT TYPE s�����'f. F#M1LY ❑ 7'WL1 FAMiI1.;Y ❑ TO�NNFiQU56 '�'YPT OF WOR;K' NEW ❑ REFLA.CEMENT d A1.T£RAT10NlRf h+fl7AP.L t?ETAIL�D DCSCRiPTI�1N 0�' WORk f'T,�j/��•r.,, FR,�S ARE BA�ED ON S10.W PF,R �IXTURi� EXC•EPT WHER�, I�dTT��. F[XTUREB: (IN[1iGATE i'O'CAL NUINR�:R OF GACH S�I.U'4V) rRC�vro�: HGA'r LU�.S c.ALC'S R'FR M+�I�n1A a 2 6 ASHrrAr. Hn�nsAUK. „s�,� _ r..,,..-�� � Gquipment fnatallod MFG: ,�,,,,_ M[.if]El.:�� ,fl� /�- st�r-�r�� .� MFC*: MODEL: St7.F.JBTU n�i�c: � �rvn�c,: srxFJa'rt1 �A/C S25:d4 P1k�PLA�E fGAS} $15.� _GAS RANQT.�/C►�+SN ffi10.00 AfR Tn AfR BXCHAI'jCFFR $ IS �FiRB�'I.ACk. (W(]OD) 5;5.00 Nh."W CAS FrRfI.L 510.00 ' _BOILEIi �3#.�1 _FL+RlVAL'L i35,ai �!�C}AS UNI'f HTit Si0.�1f1 �CNfMTtE`r LiNER S10.t1[l _GAS F�R1'FR SiQ:00 POQT, HT;ATER' $3S,Q0 D[1CT WC7RK $10:£10 GAS R1P1NCr $i Q.O� �N1'C1I,ATOR S t 5:40 %TU1t1bC� Of ftxiLlr�u �'$i:�.Od • X $kilei�l'= � . ' ... _ ;. > : „ : .:. _ , . : . . , �� � . , ::.. .. �•t�mb�er of'i`�xiures � � 15.0!� � z. S ] 5.04 � S�, � . � ' � � � � . N't�tnb�r �af �xtur�s � $Z3.OG _ x $��:00 = $: .: ' . . . . . . Nurnber o£�res (� S3S.40 _ x �35:Ob � $ - -- ' ' : .� . . . . . . . . . . „ Sta�ee S�fa�'g�� $ 5_Ei� . . � :. . � ' � � : ����� . � � ' : .. � � . :. t�t���r.�r �� �o.� ,^ s �D � ��� � �� � � .� : .; : : :; "" 7H1S TS AN ApPLICAT(ON FfjR A T'FRMTT-N(7T VALIU UNTTL FROCE�55Fi� i hereby apply fctt a building permit and ��qowlcdge that the information above is eottaplete and accurate; that the work will be in �onfornr�e+ce with the ard'ansnr.cs and codes of t Ciry o' le� and with thc Mifinesota Canstruction Coctea; t#�t. I under�tat�d this is nvt a�ermit btrt on1}+ an appli fc�r a pe ' d ark i nat to 5tart wi�ti�out a permit; that thc wark will b� in accorda�c�'witi� the ap'�rt►ved plari in the c�se of al � whici tr evi and approval af plxn9. S1CrNA'TIiR��FAAPT. AN,i r �__1'RINTNAM��V�-.C,����� / City 0� ���d�ey ui ��g ���p�crions Dep�rtment 643 niversity Avenue 3�tE, Fridl�y, MN SS432 7b3•572-3tSt1�4 FA3C: 763-5Q2-�49?7