IR - 75102�» ��..
�
�7 /
d
# ��3�
CITY OF FRIDLEY
UTILITY LINE REPAIR/RELOCATION INSPECTION REGIUEST
Job Address: G y��� �< <✓ �rv/ �� T�/' Date: `�'
Owner. �/.St,Cd F/.aQ� �r° �,Q :
Legai � No. Block �aa�u�+
Description � / /_�RiTf,�.S(��t,J �/�Q/..%
Plumbing Co.:ll,/'/,,L17U/G/7,
I agree to call for inspect��q�e
are made, and again fu the
er Lic. #��
dam line, before arry repairs
�de bet'6efo�p�fecovering the line.
INSPECTION FEE
Water Line.� Sewer Line O Repaiv� Relocation O
��o
Fee: � Fee: Per Chapter 206, Fridley City Code
-� _
Total: J� � Receipt #
INSPECTION RESULT
Approved ❑ De�ied O Comments
Inspector: Date:
White Copy—Inspection Dept. • Yellow Copy—Plumbing Co. • Hard Copy—Water Dept.
#
CITY OF FRIDLEY
UTILITY LINE REPAIR/RELOCATION INSPECTION REGIUEST
Job Address: Date:
Owner:
Legal �Ot "O B��k Addition
Description
Plumbing Co.: Master Lic. #
I agree to call for inspections after uncovering the damaged line, before any repairs
are made, and again when the repair is made but before recovering the line.
Signature:
INSPECTION FEE
Water Line �; Sewer Line � Repair � Relocation C
Fee: Fee: Per Chapter 206, Fridley City Code
Total: Receipt #
INSPECTION RESULT
Approved Q� Denied O Comments
I�
Inspector: I Date:
White Copy—Inspection D • Yellow Copy—Plumbing Co. • Hard Copy—Water Dept.
� `__ _
, -� . '-•
C�
, KRUMHOLZ COMPANY
EST 1910
March 10, 199�
City of Fridley
TO WHOM IT MAY CONCERN:
f I authorize Pete's Water & Sewer Inc. to obtain permits
I� for Water & Sewer using my master plumber license
3233M. _
. �
Krumholz Company/Pete's Water & Sewer
i '�
.,� �. ° � � ; ��` �1,�' ''�
Harley lschalger
3107 LYNDALE AVE. NO., MINNEAPOLIS, MINNESOTA 55411 • 522-4455