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P - 48165From: 6127b51554 Page: 1'/1 Date: 1/18120'121:27:39 PM FROM : MASTER MOBILE HOME SERUICE PHONE N0. : 6127551554 Jan. 16 2012 11:25PM P1 � Buildi�7� M��HAN�CAL Permit No.: `iL "l)��' _(1!�� Inspe;ctions �t�SIDEI��IA►.L ApPLI�ATIUIV �eceived l�y:-��� �, 7�3�s�2���04 CY7'Y OF �'�IDLE� �*�k�l��rN 18 ��J i� 763-�02-h977 FAX �r�rFC.�rivE �•i-zaiz RA7'EJ.. . -L.�...��Y1. _T�` _ �YOL�R H. A�L APC�R#:'i!, J.� •�_Ir ;_ ti�QS .Y, , D ' . , / W � S1TR AEfDRLSS _. . � c� � �-�.�-i,Q � .1� G),LL��ALd�� - ��_... i -� .. . .... ... .... , TFiES APPt.fCAiVT f5; (7 41?VNER �'� �'fC�i�TRAC7'OR OWNERJ � ,avi>x��s: TENEINT SUBMT£ A CUp'Y OF Yavr� s•ra,rE. LICENSr': 'WiTH APFLlCA'C'ION �ERMIT'�YPE TYP� bF WORYC: G'(JlvIPANY NAM�:J, CC3iJTACT PERS�ON; STRTE L1C�FNSP. #_ PHONE Q - ._ .._ ._ n b� r;x� r.ynTr• L�f� ��2���. cr�r�r �— _. s rn•r���p._��!-� k ��._ FAX�...�, �-�;! ��J .. ' -- .._ �SlNG�.B FA3NILY Cl7'WO FAMiLY ❑NEW C�It�,PLAC.F.MENT DETAILED DESGRrPTION Ui� 'WORK ._�� 'O TQWNHOU^sE ❑ AL'I'EKATTON/RFINODEI. � .i��1 /� �' D !� r1 � _ _ _ I�EES ARI: �AS�D Oiv S10-0Q PER Fla(''f`ktR� EXCEI'7' N'FIERE NOTED. RIXTURES: (1N�?tC:.4'r'R T�TAL NUR!iBEI� OR F.A�H SEW�j 4RClVTI'fE FI�AT �.O,�+S CALC'S PP.R M,4NU �, d QQ6 A � wiANDB+DOK. ]'`��j I� 5lZEfBTLf �� Equipmenrl�tstallcd MFli: �.'�,%�%� MQDEL: �,,�.�V'� �_ MrG; _... MO��I..: Si2�/F3't'i1 �„ - MFG; ME7Dfii.: _, S1ZEJt3'f'U A/C 525,40 �. ►�ikihLnc.'.iI (UAS) E t 5.00 fiAS 1LANGFJ���N �lb:(i0 . �A1R'!'0 A�R F3X(:Hl�NG�F.R �]'S riR�P1.AC.� (WC'�n) $3SAQ NG'� ("iAS (SRiLL $10.U4 �BUILER S35.Q0 �FLiRNACE $75.00 _GAS Ij1ViT H7'R SlO.d(i ~4;}ITMNEY LkNf:R $ft�.00 _t'sAS DKYL•'Lt $10,A4 PCX>t. HEA't'#Slt 533.4Q _ x $10:U(l � � ,,,,� N urni�er pf fixtures @$15.00 �T x$15,00 ffi� ATumber af fixtures �a $25,00 „_ x $25.OQ = $ Numbe� af fixtures Ca� $35.Q0 ,,,,_ x�3S.U0 =� State SUrcha;cge = , . $ 5-(� (iViINiM�E.fM FEE �ati•oU�, l u�l # � " 1 " __ . . �� THIS 15 J�N APfiLIC•A'ftON ��R A PEFiMI'i'-N�T YALi'D UN7'tL F'i20E�FSS�1.7 � hct�i�y sppty f'vr a building �ermit and i acknowiedgc Chat the inforrnAt�on Shc�v€ is ccsmplete �nd e�aurxte; thfli tht work wt11 be in carnforx'nance with the ordinanc:zs and iCa c�f the C:ity of �'ridley aud with the Minuesata Con�tructis�n Cod�; thnt ! usscfersiand thss ec not a pernait k�ut only �sr� at' f r a "t. and wark is nul t� start withvul: a�ennit; that ihe wrdrk will bc in t�ct>rctanr.� �it#► the appr�ved pIan in the ca of �11 �c hiet ir�s v+ew d apprn�val of plans, } SiGNA'1t31280F APNI.CE:A . F .._PRIN'f NAMF.,L.�_� , � nATB � - � � - ! '�`' ............... t.��.e.w....�n¢eri+s��M�[n i/ ndTR / �� �� ... ity of' Fridley " g YnspeGti�ns Dep�rtment g43X University Aven�re NB, Fridley, M�i 55432 763-572-3604 F�: 763-502-49�7 �tr P . ���