The URL can be used to link to this page

P - 44365From: City of F�idley To: 7637816681 Page: 2/4 Date: 5/27/2009 12:30:38 PM Building MECHANICAL Perrilit No.: I�ZSpectiozls � RESIDENTIAI..� APPLICATI�N% �eCe1Ved B� �6 �-s?z-��oa � ' � '� u��l: � � ��:3->�?-�� CITY 4F FTd.IDLEY _- I:Nh'F'(:TiVE 2-19-09 ii,�TF----� _�� ;T�,,uuirts� �y) �iil� af'?LICP,ATl�: PROPER"TY OW\ERr �rFti a�T ❑ Q ��r�� t:tt NAM�:� ADURtSS: PHONE: � YOU1: k-Nl,�ll. ADDIt�;.l'S �0; O �^ i'r ! C.�1 C' P� 71 Z _ ,. :. C:ITY`��2�z�� STATFC�I�GIP�� Cf�1TRaCTOR GoN��.qn�v NAN�E: � , y►- � Sl, B111T' A COPI' nF CONTACT PEKSON: �'OI:It ST.�TE STAT�. LtCENSt; i! �� ti P DATE L.IC:E:�SE �1'ITH <//� , '— �"� �, � AUiJIZ6SS: 1�.7 �% � ' t� C1TY .�,PPLICATInN PHnNt '�,�.L-._•---- FAX7�- �� 7 _ ,-) PER.\III' 7`YPE ��tiCLE EAMILY ❑ 1'WO NAMlL1` ❑ TOWNHOUS�: ��l'PE OF 11'URK: Q h�'»� ��PLACEMENT L7 ALTERATIONiREMODEL DET.41L_FD UESCRIPTIDN OF WC3RK STAT�;/�LI'RU �_ l� h N t> :>RL BASk:I) O1 �1[l.011 Pt;R F'!X"fURE, �Xt,N;P�'►i �W Hy.EIt� V[7'! L:Q. F'!XI'UIi�:S: (IVD,/ �C�A"f� "I'O"fAL VUVISN.R C)F N:ACH N:LO�V) t tu i;ncnt 1„talied h1}'ti ��L� ��_y�"e�,1'1�` ti10U�:L: Ti��i+�� 51'GF:iBTU �� 1HG: ----- - MOVEL: __ ____ S1"LL:%BTU , R1F'G: MODi:!_: SI'L�:iBTU '�� C' S=> u0 �� 1%IK�NLAC`L(GAS)$I�.DO ---- GAS ItANGEinVEN $IQy.OQ ^— _ 31 iZ Tt'1 � IIZ c\C:H.�'�Ci EER C 1� Th'IIL�;Pt..qi;�; (N'n()t)} $35.00 NtW C,AS GI�1LL $10.f10 ^'tiC;i LttZ S��.it{1 ' M'i11LNACE $35.f10 GAS UNIT HTJt $IO.QU _��`HI;�L�kYLINkR$IU.OQ _ GA*,UI�Y�R$i(tX1Q POQLHEAT�K$35.(i0 ---iat_ C:T �'lO1CK � IU.UG C,A� PIPING � IO.UO VEN"I'1LA'CQIt $ I5.00 T�umbcr of fixtttircM+lc� �:ltl �7Q :' lc �ID I�u►nbcr of fixnires �.� � l�.tt�. x�:�� l� u�rtbor uf �xt�arc,� fu; 5�5 tl� _� X$2a; �:iin�bcr of ti�t��rca +`rL �3� Ol) :.: x ��S SrG2L Sumhar�c - � J�`: cja�tii�t��rEE�5a5,n► Tnr�t.._�..+,�:i =� THIS tS AN APPLICATION h'(�It A FLiI2MIT-NQT VALID UNTIL PItOCtSStD I t�r i:_: apC�(y for a Uuildin� �,c.i•mit anc �--acknuwlcdgc that thc. i��f��rmati��n abovc is complctc and accuratc; that Yhc work ��•ill ba in c��niorn7ancc •�vith th: �rdinataccs anc? dc:, of�tht. City of !=r'rdlc-y �nd �r�ith thc Minncsota C'onstructiun Codcs; that L undcrstand this is n�_t a pcm�it but unly an application f r a perinii and i��ork i� not to titart without a permit; that thc work will bc in acc.ordancc ��ith thc <x�.pr��, c� pian in thc, casc of ail�u �'.}�'rcquir , rcvirw anei a�a sraval �f a s. >i�,A,��'t_KEOh'APPL.SCAtiI � G�: � -r�2%` 'C•�---- _� � � �--� I�AI� �� ,. �L___�__._�—. _� .t. 1 N"I N A M i.: _ �. �► �_i�_ ��_��---- - ' Dt,�G:n �G'w�l��i^C..:�.�.,�rr�.rra:�:�;mr�r.r�.�,.x.t„n.�. •,. t��.�...A., .....:.�.�...._ .... . � .._. .. . . . _ . . — c;�y �� F�•;a�ey Buiidin� InsP�ctions De�artment 6431 Uniuersity �venue NE, Fridley, MN 55432 763-572-3fia4 FAX: 763-50�-4977 0