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P - 46938
N4V-02-2011 01:24 ,�u,�iuiii�, Insp�ctions 7b3-�'72-36Q4 763-�02�4977 FAX ��� . �1� S1TE AJibRESS � �s ai�i�.tcarrr rs; `I'�NANT 5iIH11+�T A CpPY Oi� YQC7it.. STqTE LICENSE AND �RTIFICATE OF 1t�iSiIRAIVCH PR 1 �RTY TYPE PM STAMDARD WATER CONTRdL 763 S3� 1882 P.03 ,� <111,��IN(i Permit No.:�6 � (��s�� R�SID�+ N�'IAL AFPLICATI(�N �t.ec�ived �y: C�'TY �� FRY,DLE�Y D�t��t: � � , � b � �� rc�crrnv..v � � nn, . �'otn��Ma,n nnn�ss ❑ OWN�i �CONI"RAC3'QR ADDRF.SS: � �..�'�„_ � C1TY STATE ZIP PHONE: �(�,3�[�(=_���,�"Z.._ 2d'AM�; STA'i'E PH4N�, . ./ [0 � ^ ,� -'S % � � 8 `�� 0 SINGL,B �AMII,Y/NEW CON5TRUCTION (] TWO FAMiLYR+f1W CONSTRUCTION Q BASEMENT FINYS�T O RCx7F ❑ DF.CIC 0 SIDYN'(`r 'Y"Y�� QF WQiiK: D IVE'Cl� H01� CONSTRUG'fIDN' O ADDITTON O i�A�VT�IANCE'JREPAIR O ABMQDELINt3 DERCRI'�3E WdWt BEING 1�1�; � SIZE UF.iM�'RQvL�MENT LENC3'i'H WID7i�i O HOUSF. ONLY NUMB OF BQUARBS �_,�___ a xaUSE ��n�n�;a P1Z� S17F.: PRO�a�Bn r��c�rr: .. � C Vinyt O Alusdfnum O Qlher. IN���G OPENINC35 oYee �No OR FOi� NEW QPENINGS-DE5CRIB� SIZL� OF C1PEbTRiE1 CHANCxFS dC FEEB AhE BABED ON ►�i Flan R�vievu �'ire Surchargo Setrch� LiCens� StuCharga SAC C$�rge Cutb CWt Escror�v Erosioti Can�o1 Psrk F�� Sewer 1VCa'sn Charge Cl ATTACHEIS (`:ARAGE ❑ DETACFi� �iARR4E CERT ,aT����� �nRAIN TILE 0 UTH�R �..as�-rrr �an�,r.nuG q���vm�r: 1, Exlsltng Ploor Plsn a, Proposee n�or plaa 3, Llst of struct�usl mpnbors to be uacci FOA'1�W CONSTRUGTION' IlMTCLUDINCr DECiCS, oSomt �r�nyrrdxs. a� YaR��ES � ��T� 1, Site Planl$WVCy sh4wing the pci�[ing sKUCturee �1 T�im O FaseiR end ptopoaed projeCt, 2, Trwo sets of construction pinna 3, Enelgy Ce1Cul�ti0ns LDCATION OF wIIVI�4W3 �OR WINDUWS — PROVTDE U•VALUE AND MAN'UFACI'URE STTCKF�t ON WIN[�OW. NL1]vffi8R OF W[NDOWS �.uATTON, �iCLUDYNG THE COST O� LaBOR ,AND ri�a�RULS: SING T� ig�r U.B.0 �E� SCH��ULE) $ j:� 5al S See Back P�ge for Fee 5chedule $ 65% pf $uilding Fermit Fce � V A4l times the total job valuation � '�� .0405 x Perntit V�luation Minimum Ss.00 � $3.00 (5tate Licensad Rtsidential Contrsctors) $ $223U per SA� Unit (Fl�ns w MWCC for determination) � �}�+6ft= fitxS23=S � S45Q Conservatian Flaa Revie� $ �'ee �etermined by Engineering � Agreemant necessary ( ) �Qn Necessary { ) S 1. � Makc checl�a navabie to: Citv oi �'ridley Att�c TH1313 AN APPLICATI(7N FUR A PERMIT•NO"f VAI,1p ITNTiL PROCB$S�iD i here�iy appl� for a building permit and I aoknowledge chat the information above is complete and accurate; thst the work witl be in confortnanoe with the ordinances and codes of tlte City of Fridloy snd with the Minnasata Cons�uction Codes; that I underata�d this is not a pemait but anly an application for � permit and work ie not to start without a permit oA site; that the worlc will be in accord�nce �uvith the appmv�d plan in the c�se af +w� � ires review attd approval of s. �/� �� SIGNAI'CAtE OP APPLICANT !��� PRFNT NAME�� � 1�.i1 �" DA'I'£, inerwiwJr• r�mnz+�vr�f r�r�i� NO�-02-2011 01:25 PM STANDARD WATER CONTROL 763 537 1582 STaN��#R� Ii�AT�R C#��TRVI. S'Y�T��S, �NC. 6997 Lekalpnd Avanue Narth 8379 Swenaon 8hrd, A1 Crystd MN 56428 C�v�e, IA 60925 ��ter.00m ��, � Feoc i783) Bti37-19� ��) 7rM�ree1 We�a� (3ro�1 n� �Im 7b Hs FCr hw0ios �M ,�„� � � � �* ~ `� �.��� r�r�" "n�„' ' ���� � --,�� ►+va+� �,. t � (pte� �a (ao�i we.l�e teaol �7�7 �� � !3_ Jcb 8kr # Drtr �.� 11 J Num " ' Addnw � � �. �. � � --- wOrlt Phon� { ��—� �1 Nl�ra�iMd Ie M� 1i4. M� hw11bN tl �6or a.d � ti0r �ak #i �P�lNq N'1 � Mq�h �Y bMar. !n tllr sNnt ��� 0°�PM�d M► a�� � � � � � � � � � � �Yr M�br 1Mn a�ltolp.�, e`w�rr am.f �Gsw rraMt erM►r io oantlnw �+�eqwnf a��Ms� eMM 1q lwldwil,Iw +�o�k qN' ,p�M�• CwnN� N rMP�M lbr hnil�atlon ot � wNt a,dpl� tlINMI� non�llu�p� p�z �.�rL iMN ip 8pp�. � 1�ilo�or(s�, o.�bon 1a0rNf�ld� �Yp�(tl �Inl �haf�le.l autl�q NN„'�4� �CAt�ans - �u►mkAAO c!F ARi�► T�o se i�� � p� ��d �na�► p�p,�; �� q4y pyp w, U� �d�' r �'�' �� �oNi �►�NT i'�au�e n,e ow�� � r�y �+� a,�w,,,, ro�o�,,, "� � sS — e. oa�r � , '�— C. 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