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P - 44936Build.ing lns,pectia�s �'�' 7�3-572-36U4 7G3-SQ2,4977 FAX IhA'rs l./JI_"fI s�r� a�QR�ss ,�,,,, THIS APPLICANT 15� PRQPERTY CIWNER/ TEIVAIV'C' CONTRACTOR SU�MIT A C4PY OF YOUR STA'i`E L1C�NSB WITbI APPLICA7`ION P�RMIT TYP� TvP� oF wat�:rc: From: 7637463777 Page: 2/2� Date: 12/20/2010 1:31:28 PM a � ��C�iAN��.�L Pcrmit 13o,�,c - �SID�NTI�1.L APPL�C�TI � �1 ����"'�� �y�, CT'I'� UF �'�I�I.,�`�.'' � .��tC �C��a� r. �FwrTivR �. � a.n4 ,YDiJR �•W1AIL A�JCIR�SS Cl4wriP.R �CQx�u�roR NAME;,,.,,,,,, ITS�~ � ��pr�ss; 1.� AHANP.: � y � CdMPANY NAM�: . CaNTACT PP.RSON: �,,,, STAT� 4[C�T1S8 N �, „�,�a� �r�uR�ss� 5f� (. PHQNP. ^� �' � FI,X / IL O NBW D�TA[J.,�D p�SCRIP77ClN QF PAMtt,Y G7'I'Wp PAHAtLY •rY s�rATr z►P� O TOWNFIOUSE 17 AI.'Y�fU'I'IbNlR�MODEt, AT�' '� "� ZIP Ir6�9 AR� BASED QN i14,04 P�R F17K'1`I.IRT. 4"�PT W Q�� �V07'�p, PIX'1'llR�S: (INDIC T�'�'�j.�f�uM��B QR �ACH B� W Bqnipmentln6te11ad MF�i� ,��� MODE6 ��W'�I't.ul�V SIZ�/8'I'U--,� MF�: �,���'�'� MOp�L� t � Q�L"� SIZF.IDTU�_,,, MFd: MQDEL: • SIZFJ�7U XnrC tzS.00 �FiRGPI�,+CE (Q�S) Sf S.np �,,,,(7AS R�►NriP./avF.N �lo.� o0 _A1R TOAlR E7CCMANO$F•R S 11 PIREPLAC� (WOOD) 573.00 ,F„N�W CiA3 dil1�L S10_00 _Hb}�$R S3S.D0 �FURNAC� �33.00 _GAS UN!'I" HTIt SIO.QO CHIMN�Y I.iNHR S 10.00 �,�„G/15 DRYER i10.00 �PO4L MkA'I'�R 533.00 l�LiG"1' WORK 510.00 _L1AS PIPMU �IO.pO VENTiLATQR St3.00 .,,�., ;K�: .; � •. J.�..� .. „i.; , v,....: �,-, � 'e�� ; ':,�.'• � ';r:b'.ir• �.�',:,�`;•;. �� :u ��i" ^ . � 4'''�,'l, �`,'''y.l�' ",, f „ ' ,k.'�,' � ' �' � � � �� { , 1 ��5�,i, �. ., a 1, � t � �i ����'� 'A�.�: _�r sr�7ni!.:.,MR�:'�,�:y. s i � � ��. � ,��,� .il�.Y.� �iC � '. ''s"•k:. ; "�a,'�� T: Ir-F.; �. , �' t� r�.iG � " i: � ,'�,��,.,k� �.., " ?'ii: !',`rt? "C`�:' �'�+�.�; i�;, .� '`� � ��.. �� cA•. _ q ... ���' ii �� . . ' r J . . ��. --.1,;'r,. I� .......'.�'... ,. ..:.''a':. .Ic . . ,...�.:.'F'..ri, '�'- ' '' � �j-,x,r:, . ` ^ ��'•�� �I ,4 � � +. � N �X�'�'��°a�d �T':i +�. ; 11-� �. � d ._ . �.r� : � � :. ; ;rA!i;#:�'k'}''•Y�''N'���t� N(i'.�'`�., ' �L: �"F'i �' � 9N �'''. �. ��J � ' i �' .'�' n' ��'{ ��:, , + I��i. . , , , . r'.1.p, ,T,.'yy - � . , . . '�.�: � 5: . ,. .. • TH1S 15 AN APPI.ICATIflN FaR A 1�LkMIT•N4T YNLID iJNTIL PROC833E� I hercby apply for a building per�mik und 1 acknowlcdgo th�t the infpnnution above is complCtc and acCUr�tc; that tha wark will ba in conformance with the ordinsnces end code� oF the City af Fridlry nnd with tha Minncsota Construction Codes; thut 1 understand this is not a permit but only pn applicuxion for a permit �nd woPk is not ko stArt wiehout p parmi�; thaC the work will be in accardance with tho apqrdved plan in thG c�se of p wbrk which rcquir�s reviaw and approvui oF plans. 81GNA'1'URF? OP APP41�A1�T ��� + ���� PKIN1' NAML �rn � ���a�a.��1111'� / Csty of Fridley Building �n�pections Departmcnt f►431 �Jnivcrsity Avcnua N�, Fridl�y, i1![N SS4�2 7b3•57�-3604 FAX.76�-502-4977