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P - 35767From: 651 281 0358 Page: 2J2 Date: 8/1I2011 12:25:b8 PM Bu,ild.ing ��TMBING Inspections ��'�'Z,�,�, �PLICATIQN ��3-s��-3�0� �Ir'Y. t7�' FRIDLEY 763'S�G'Mh�7/ F� �H�fyCT1VF ►.i.2011 DA"iti,�� 517'E ADDK6,1S �� 7'HtS AF'!'L[CANT 1$: C?WNF•Iil T.k:NA1VT SU[3M1'T A �QFY tN•� YOLTR STA't� L.IC�NSE, DOND A'NU G�RTTTICATE 4� tNSUt3ANCii PERMI'i TYI'E YOUlt �-MAIL fa OWNCR �ON'!"KAL"!bR 57'A'CE WCEsAiSF, il s�ra�►� eotv�'�"• TYPE dF Wf?RK: �� N�'�'' dETAI�.�p t7�L'S{CRlFTt�N OF Y i�`a,1al►"'"�"Li7 .� � �s.'+. � .. .,� � � ,a^�. s `rl �►.'w � � � ■ • _ _a Pcrmit Rcceived �XP DA'fE ,,,,` FAX �. ��... �'!'C1WN11Ul1S�. l�Lt� Akr� �AS6a c�r� SrR.na rFR FIXTURG ptL'EP�C' W!•i�� NO��u. Fr�1J��.S: ttNi�iCaTE "fOTAL NUMDCstt UF CnGl�! �F�.ttw� t�rrlMv�t F?EE s3sso. kiA'fil:itl�iK!l.+4Y ' _FiUi7R�RAlN3 _SrTC7WER ,,,_WA'TL'K-PIPII�K;'r � 8�4'l'tCf1,il3 _�r151�1NtNO {Pl�k�'t� cll�r l.SC3 SVVSMMttiNt31�L wa'f�R.�ic7PTNi3tt i:�3S� ,�; CL.t1THES WRSHFR _ KlTC�iFiN SINK � WATSR �I.OSE'3' � BACKFLOW PRi3Y. (T I5j � QttiHwASH aF'R _ LAUriti7ltY i'KAY WATCR %Ii/t'['Gl� {S33j �ClR lRFtteiATiQN ' WATER MG7'CR t)'1'H�R [� THig IS AN AT'PLiCAT[ON fOR A YJ:�tMCI'-NO'1' VAUi7 UN7'IL PRQCESSP..D 1 hcrcby apply far a�lumhing n�rmil nnd I acicnowlcd�e that the infcrrmation abc�ve is com�lete and flccurat�; chxt the work wili be i�� conformanc8 witlt th� orclittflnces tuyd codc.s of'thc City of Fridley a�� ith tf�e MinnCSUttt Cr�nsW'uc6iun Code�; that I understa�td t?�is Is not a pem7it E�ut pF11y �n AhpIICFltt�tt POC Fi •rmit �nd work is �iot to , ��lOUi 1� � 11 SItC: h�t thr w rk will be in accorda�ce witla the a�nrovecl plan in se of��ll '�^'^ I,icl� res r ��wv And of I� �,, . . . SkGhIA'I'Uk2L•'OrAPYLICAiVT�'y�`f�.a��.t ^.,..d��AIItNAM_ �� f•' ��w �.� City of FridIcy Building znspections l�cp�rtment 6431 Universiry Avenue NE, Fridiey, MN 5543� 763-572-36tk1 F�: ?63-502-4977