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P - 48666Fram: 6127551554 Page: 313 Da#e: 4125/201 2 1 1:21:57 AM FROM : MAST�R MCJB I LE Ht�'IE SERIJ' I�CE PWONE hJO. : 6127551554 Apr. 23 2012 08 : 22PM P3 i�uildin� Ins�p��tiQn� 7G��572�3604 "163-502-4977 FA� �A3L"_, =i,�r'i` '✓ L� SITE A!)I�RES� _. ' 'fHlS APPUC:+�HT 1*u: � PR�3�'ERTY UWNI;RI � '��N�NT ; $�F3MIT A COPY OF YOUR 5TA7� � r,.ICEriES� WF'1"1-� ,4PPLICATION T�CrmiL Nc ME�HAN ��.A� ' Recei��d RE��D��TIA�� APPLICA'I`lON � �ITY �� F�;D�EY _ Y()t,�i &MA1t. Dn�r:S.S'��]7 ,A..� ..s�� . . _ � o csWNE� nI7�R�,55;� ` . . Pk{OtJE:�, . ....r._.,._ C:t?MYANY NAA'�R:, ,�I.� car�rncr paRSON: _,_, • '�i; Ir"I JV. .. __. _...—� - - sTAa�c s.rr.�.f�s�F �,�..1.�. �" � ; , — EXP DA l L .. _. ..: _ . •-- j��4r'rY.... . ... �5'rn'r�}� zur FAX _„ !_ � �-�'�� � � � — 0 PFSCrtJF. P'ERM'r'i' TYi'� .��1NGi,� �AM4LY O TWO HhM�i-Y 7"YP�' �,�' W(�k�Ct � N�W ��Cr[.A(:�MiNT D�'1'�ILED DESCRCrTION OF WC�TtK p T(7V✓NHOi1SF. Q ALTPAAl'i0NlRP.MC:�17EL � � . .,,._....._,. � , .�... . �EF.S A.ltE BASED+DH S10.00 PEK I�IXTUI�E. �XCEP7' WEIERli NOTED. FlX7URiS: (INDiCA'rl: TO'i'Al, NUMBLR Ua` F.�CH BE;L(i� [+Ri1Vfl�F HEA'C t.� CAI�'S YT'sR MAf�4fA.L J 34db.ASitfftA�' HAPIDBOCI[C. 517FJB'i'U' M�(i: _„ . MC1D�:Lt _ . . . �,.,� 1;quiDrtu:nt �nstslicc3 ' _ ' Mi+C,s ,,,._,,,_._— MODiLt $1Z.�JBTU � MFti: _�,, M�AEL: �,,, SIZFIBSU � NC. 525,OD ` F1RF.PI.ACE tGAS) $1i.00 GAS ItANG�/flVBN $i4.00 .TFIREP4l�CF• (VVCIUL)) $3S:Q0 NfiW GAS fiRiLL StU.00 �IR TO A113 F.3CCHAf+'f.i2ER $15 —FUItNACE $35.0�! „._Cih.S l}N�T 1�i77; �FO.f1(1 13E)[LB� $35.i10 _ PO(3L HLA'fRR S3S.U0 Ct1iM1VEY LtNER $l0•4(1 _GAS �1tYRR $tU.00 , .,,.., �., a�,n nn ^YL�NI'II.ATUR 9i15�0� x :� 1 t?:OE7 � Number of fixtures {� $15.UQ ,� x�i 15,�3U =$� '� Number af fixWres a(�7 $25.Q0 ,,_ x$25.OU =$ . Y*Iumber of fixturos cQ ��5.04 _,,, x $35.t70 = $ , 0 �tate Surch�go = $�___,_.�;OU M1NI�M F�� �4C3.00 Totai = � ��� � ' 'PHi5:i5 AN A1'�L.ICATiON fUR +� FERMIT•�1�YC VAI,1l7 U1VTiL F'RC�F:�SLp I hereby t�gnly fdr s buiiding ��rmit and tknowlrxt�e th�t the information ab(�ue is complete Rnd �ccm�t�; that the work wi}1 Uc in cot►fpem�nCe with the arcixna ' t� +� e:s tho Gity Fr�dl�y �c� wit}t thc Minnesot� Co�LStrucki4n t•od�5t: ihat t t�nttdrst�nd this is nnt a�ernti# bui onty gn t�p acat t arid r is nvt to �tar4 wlthaui a�ennit; titat thc wdrk will trc in ac�ordr�nCe wi�Et ila� �pprovv�tl plan in the cHse q si! w h and t�p�rov�tl U�plans. ` � ,� � S�f�.� ��n'C��;,, � �� ^ � SiGNA7'URE Or �PPL1f:f��1'1' �. !'RiNi hEAMF.,�.��. . . .r � . _ l ....._ � r, --'.�., City af Fridi�y ildin� �nsp�ct�vns D►epartm�nt G431 niv+�rsity .l�v�nue t�iE, Eridley, MN 55432 763-57�-3604 �'l�X: 763-SU��4977 e