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P - 47279� From: 6518150561 Page: 3/4 Date: 11l1/2011 2:14:19 PM , �Ulidfl7'� lnspectic�rts 7��-s7z-�soa 763-502-A�97? �A.7C � I)ATf'.._ � _,.,+- ,�-+ :tifl7i AntXRRSS _��,� �n��s nrrr,i{n�vT rs; 1VIECI-�p,NICA� I��S�D�NTYAL A�PLICA"'1''tt��1 ��'T'Y �F �"t�I�3.L�� rH�r-.c�vr• i.1•2c�r i Yf3lflt 1�,-MA1L AI)DR!?S;S �� �� ��� L2�'Cs�—,�`'"� l'4��.•' _ G7UWNIilt �t'1NTftAf'TCyk �. � .,_.._ ...,. ,:.,. a w NAMF �,�! 4WNI�.W nun�tt +;5 'r'ItiNAN7' , .. suu��•i'r4 COl}Y (>I� i�'Ol1(: ST'A'3'f:: LIC'l:NSh: WI'19E h�PI.ICATIpN !'�FtM[T TYPE co�trnNV r�nM�; GY)N7'A[°I' I'Id12tif1N� s�rnTr: i.icr:r�s�.� P1-1t7NR .i����- •;� ' - 1Ri� ,: � i ��,,; � � .... .. .__.�_. ,. .. .. . I � �' --� -- � �� � � � �... . __ 11'Y 1 g �,�17��.:,�j ���, ti__.. _ i.xi� unri� �"7- CS � . ._ _.. .. ..�� •Cl'1'Y . � 5�1�A'�'11�!LS'�P�� HA}C '� FAMILY Q'IlVL>HAMII.Y TYPE dF' WORh: I° NLw �'�.�c�-,n��:Nr O 'fUW Nt iuusi: � AI:I'N.ith'I'I(3NiR�Mt)I?f?[. DETAILED DESCRIf�TtOV �t� w�1r;K!�� � �,",�,�/� �,��� F'hlS A[iF: lk4yEDQN $iQ.IM i+I�;R RIM7'll(:�;,1:XGk;1"1' W114:RF N('xTRA. FIXT�It�,y: (IN11�G'A'fE 7fl7'A1. IVI1MItL;R OP 1'sAGI! BISLCI a`I�UYID]� JMF:A'1' L{kti.S CALC'41'I:R MANi1r1I,.12Y106 ASI14i.�►L� HAIYUHUi7?►. _��� E`.quiprnent It�g4+[tu� Mi+t;: �,�,I<-rt'1�J!C M()IJI�I.: �;�,�('����� S]'ld"JF3Ti7 r�rc: Mon� .r.: :;�rr.•.ri;•r�J M'F�: MC?i)f?t.: Sl'l,l?lli9 l 1 _MC S25,f1(1 KIi�Fil'I,ACii lCnB) gl s.un •-- Gn5 �tnNC;lJC�vi �v �io:cx� _ at�z't'p,ti►R L'•J�CIJnN9LLkSis �� hirtr-.rr,n�i; (WC�t7t7i 535.�� `Nf.sW c;n:S r[ti�,i. �r�r.un _�_13(711.F:R T�S.QO �,I�UltNACf+: �3s.an rn� 11N1'f I I'1'3t YtU.Ot1 CI�(MNf•.Y LINtFR SID,00 C;hti L7KYfiR S1U.Op '� PC)(31. ►tr-.n7r•,R S�S.�p =Utxr�' WURK$10,00 _GAS I'1PLNCi �l(J.OD _ V}-:N'1'ILATOR i13.f10 Nurnberaffixtures cr $10,04„�„x $I4.�0 � $ �lumber of frxtures Qa $ i S.QQ x$i 5,pp -_ � Numb�r pf fixtures (a� �7.5,�0 x �25.00 = �. Number of fixturts (c� $35.00 ! x �33,pp = $ ���t`.1 5tato Surcharg� � a•�+�i��Ir1u1�71 r�C� 39u.{RI i Di91 = � "" � ( } � (� �...� TH1:i I5 AN APPi.tCA7'�Ohl I�'UN A I"liltMl7'-N{)T V�1LIb 111�'iii, rrtUCi;:;Sl:l} �••1 1 hereby �pply 1or a buildin� permit and ! aekirpv�+��1�e th�t ih� iniurrnation abpae is com�l��� end accuratc; that the work will 'be in CO�fprm��� wcith the ort�irt�s`es and qodes �e City p�' rridley tutd with thG Minnesot� C'ansl�u�tic�n Codcs; that 1 ue�derst�nd this is cs nOt a pCnnit bUt C�nly an �npflC�ltiO ; r a�lcrmit d wp i5 n�t tq StBR with�ut a permit; that the work iIl bc in �t�rdance with thc �pproved plart in thc casc of al[ whic puit rc i�. and apprt�v�,l of pJ s. tiiCiVA'1'UK[:UI'APPI.IGANT_ �_ . ['It[T1TT4AMf? ��1f 1N f�� �T'�^_�r,�•,•�: � �''1 �'`�l � nrv i.s r�t Rr U�7CCrU J'VK Fi'U1l+UINC1 ^L�1,��.GT�.J'� L AND �lty Of �+'ritil�y �ujlding Inspe�tio�s Departrnent 6431 Univer�iuy AAvenue NE, Fridtc:y, MN SS432 763-572-3664 f AX: 763-SQZ-49�7