P - 75596��
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�EP"�OR YMENT NO.
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Installer oi lluking �
aocsg�-Cl�Z��
RDER �F�
Job
Property Address �� �J(4�c �eretA � ap �'� �� �
Date :� �.� "� Permit No. o�OC%$� ` G v'� � Date Flled � r°j-�^ O�
QAddRional rough-in inspection wes reauired.
O No acc�s - scheduled inspecdan. ��
��Fee shorta e- see com tion. �
9 R�
❑ Reinspection fee.
Fee Computation:
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� CITY OF FRDLEY
6431 UNIVERSITY AVE NE
FRIDLEY MN 55432
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Please return this order w^ith your chedc in the amount of ��P payable to the city/
townshlp by (date) _ S � � 1 �� �
Inspector _ ��� , �(4f �''� Telephone _ �S �' �72 %(��,�
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RETURN THIS ORDER WITH PAYMENTTO THE CITY/TOWNSHIP WHERE THE JOB IS LOCATED. RC-02
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