P - 75601ORDER FOR
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Installer of ring _ N h'� �-y��c.�' -�rr�'�
Owner/Occupant Y `ec S�S ,Job �j-� �
Property Address �?�O l�/�¢ z�J • C'ic �-� ap �i
Date f^ Z i� °� Permit No. ��` � u Y�3 Date Filed 7- � o�.
O Addftional rough-in inspection was requir�d.
D No acce�s - scheduled inspecdon.
C�'Fee shortage - see computation.
�einspection fee.
Fee Computat(on:
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CITY OF FRIDLEY
6431 UNIVERSjTy Ay� NE � v� � I I e
FRIDLEY MN 55432
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Please retum this order i 1th yo}�� ch � in tt�e amount of ��/ ° payable to the city/
townshtp by (date) / �
Inspector �(�2� � �'� Telephone ��� %77 7 �s
RETURN THI� ORDER WITH PAYMENTTO THE CITY/TOWNSHIP WHERE THE JOB IS LOCATED. RC-02