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P - 48672From: 6127551554 Page: 212 Da#e: 4/23/2Q12 8:16:�0 PM FRQM : MASTER MOBIL� H�ME SERUICE PHONE N0. : 6127551554 Apr. 22 2012 @5:15AM P2 Buifding 1VI��I�Al1(�C:,AL Insp�ctions RES��.ENT�AL AP�"I,I+�A,T�ON 7�3-�"i2-3ba� �I��" +pF FR.��LEY '763-502-4977 I�AX �;ri.�;c.r•rvF i.,.i��z nArr•,�_'..�. _ .. .� vcru� L-Mar�, ,� rknuu�s •�!.(_..�� j�j(� . ._ 51�t� antsftRSS - ,-Q_.,�% _ _... . .... _ 'i'EliS A?PLIGANT [St Q �7Wt-JFR Q,�� ~ . � /e4S.'UN'fRAC'TClA hva r.a� a z IVAM�- OWNER/ A�DlRESS: •• . C!'PY T�Nr1NT °..... _ ___ �Ht7hiE: ��T�� COMPANY NAMts; � Pcrn�it Na.;��J�y'� [tec�ived �y�.. R��'�� R 2 � � � � _.... 57'AT$` ZIP_,,,.^ _ ..,.-�_.. .. _ . S1Jl3n� rr R GOPY OF ��•raC��r ��:�sc�rr: ;. : Y _...... .. ... ... ._._ ..... ...___ YC7[1R S7'AT� S'1A C6 C.IC:ENfiF 1t..� .. _._.._ £XP DATG _ • LICENSE t�VITH A�ibkFSti��- , . -� +i��1�1�Y - ..�s��r�'..K.L��'�� ! APPLICATION pHUNE ,., , "' rnx — �4_ �1:fccz �.. .��-.... .�._. PERMIT T'Yls�; '�'+�:��'L� FAMEE.Y D'['WU FAMt[.Y Q T(?WNIi(�tfSL' i'YT'� OF WORK: ❑ TJFVJ 0 REf'LACEMENT ❑ ALTERATtfiNll21�MC1{]EL DETAiLFp p�SCRjp'T'TC1N tjr WqR1r � N EES AR� SASED DN $l4.0� PfR nY:�t7'UIiF;', �;XCEPT WHERC }VQ'1'��. FIXTClR�S: (INl,)IGATE TO'1'At. NttMBER �DF �A�:H BGLpVV) TftOV10� NEA'I' LU'35 C:ALC'S PER iktANUA�, J�DUG ASHIt.4E RAN1)�UpK. L;quipmentlnatallcd MI'G: MUQEb: , StZE/BTtt MF(is MOUGL: _..., 5[2C`sf8'1'U MNZ;: —,...._ Mc�nFt>; .�....___ Sr�F.IBTU:--,. _�fG 525.00 _FfREI'I.ACF.. ('GAS) $15.W _GnS RANCF,/OV�:N $10A0 __AIR TO AIR EXCHANGE�lt $15 l�IREPLAC:F. (Wppl>)',b'35.UU �Nf;W (iq5 GRII.I. $10.U4 _B�ILSR $35.00 P�IftNAGl S35.W _GAS i1NCT !•fFR �10A� ,_CI•�1MNL•'V LIN�R °et0.00 GA5 D�tYF.Tt $It),QU �_F'tJUL I�EATER F33,pU DT.1CT W4RIC S10'�QO �CiA5 PIPING $1S}.Qp _.. VF.NT1L,11'1"flR $tS.pp Namber �f fixtures (r� � 10,00 _ x$10.f)� == $�_ NurMber of Fxtur�s �$1 S_00 _ x� t 5.04 =$_ Number flf fixtures C� $25,00 _ x$23.00 =$,,,,.� l�umb�r nF fuctures Q$35.44 _„ _ x$35.04 =$�_ Sr:�te Surcharge = � s.00 .�- ��IrI1l�A1�iVtrii�L"L'?��.a1`W.VY�.:�. l(7{Ftl'=a � •THIS tS AN Ah1�I:1Cl�'i'ft?N F4ft A l'L"KM! 1'-Nt}'I' V�LiD lJN1"U., pFt(}C'ESSEp t hereby apply f�r r� buiiding peemit a.t�d 1 xaknowlcdge that t}3e inform�tian ahr�ve i;; conx�lete artd uauuratc., ihat ih� work wifl bc in ctrr�fprmitnCe wi4h thc ordin9nces an � vf the �ity of f%ridi�y ;•�nd with thc Ivlir�ri�suta C'c�nstnzctior� Codcs; rhat ! ur�dar;t�n�i this is rtOf t� �}Cr[�'B� bill. 09]Ly Ni� �.l 'c 'o f r errrtit ��'i wot�k is nnt !.0 stxrt witlaout a�ermit; that d�e wdrk will bc in accordxnce wit}i the ;�ppravcd pfan in the cas of �tt re . i�w tmci a��rnva! qf pl&ns, , SltiiVA1'i.IRE �R AI'YLtCAN' . . _ ._.. �_PRiN"f NAME_„��► VT f �✓ � �7�.�p�?p�� j �_ c'�� / Z Ca'��y �f Fridley ng inspe�tians Uepa�r�ment b431 i.rniversity Avenue N'E, Fridley, MN SS4;32 763-572-3G04 FAX: 7C3-S02-497?