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P - 48252,< <„ , �,�� ,,,, , Building _ _ Irtspeciians 763-572�-3604 763-502-4�7'� FAX srr�au��r�s� rH�s �Pr�,ECnrrrts: PRQPERTY� aw�vrw T�NAiV'C' Frorn: unknown Page: 2/3 Date: 12/29/2011 8:48:36 AM �.. �� „ , 1VIECHANICA� ner�nit tv� � RESIIy�N'TIAL APPLYCAT�CIN R��v�a BY:_ C:[TY Q►F FRIDLEY �A�� ee'cl:_ : =t-a'�^..� � t7wNER ��MI7' A Cl)PY OF ', CtfNTAGT PER3Q1a: Ytil)R S7'A'f'L' STA7"R idGE+NSti # LIG�'NSF. WtTH kn[fRESS;�� APPLiCA'17f3N Y4UIt E-Mrt�l. ADBRGSS i' Gf'1 C� 11�, � h. ��( �.. e 3�ti r+� i�►r� 1\f � errr �; f� t P,��r � _ sTa�l�i�i,zE�,�'�, �{ � �i �.x.�i � _ r�n1 � !3 i,. �%;'�-� . . . ,�.2. � f:�P DA"[R 5 , �� `��TAT��fLIP�' a1"' PHt3NG e�� - :�� fiAk �"��i� I��RMIT TX�E �31iYt3LE FAMl1>Y ❑ TW+I) �ilMlLY tJ ii5'WNH{)tltiF. '1`�'F. Q� W[!R�£� Q NGV'' �REPLaC�r��rr�� 3 a�•rr��7t0%iAt�MOU�e. _ U�"i'AILED DF.SCRIPTIC�N tdF' W4�k (,�.�',Q., '' �% . ��. _ � _�. _ FR�S AR6 BAS�;D t7i�t S14A4 PER F1XT[1RF., F,!{C�SPT WAERF, iYUT�D. FI7CruRF�; (i1vDICATE Tn'l'AI. NEIMRER QF �At:H BF,l.(3W) 1'ROViIiiP HLA7' I.OSS CALC'S P$lt' MAN4Jik1, J 2DDd A4HRAF. HAND80Q1C. Rquipm�ttnslelled n�rc;: M4ULl.; .: . SE2Gtt3'tV'�, MCYf:.��.�dC Ml3DTsl.: 9 (% S1�1T4:l;(�'%�_ ..........__ _._ ��`7' .. MC%:�F.�TL: SI?Ii/i�'fRt�� „_AilC''ti3 AIR FXG`I�tANGT#:K S l� ,,,T,9UILER S:}5 {10 _CI�tMNEY [;INF.R SIa.flO _ tiAS RA1VCiEl�i' NEW CtA9 CrRi1 _CiAS IJNIT3ITR f'CilS IS AiV AP�'],1CA7'IUN MUIt A PERMIT-NOT VALIll UN'17L PRfX:RSSEU I hereby apply for a build�n� nermit arod I seknowled�e thac the inforrnation abnve is comptete nnd ac�urate; Tht�t the wcrrk will be in cnnfctrmance with the ordinances and Codes of the City �f Fridley and with the Minnes�t#i Corl3tn�ction Codes; th1t 1 undcrstand tllis is not a peXmit but only an appliGatiolt PQr g permit and wt�rk is not lo stsrt with�ut a permit; that thc: work wil� he in accdrelanc;c with the approved pl�n in the cace of a rk which raquires review and ap roval af nl , R. SI(iNATCIRF�FAPPF..lCAi�t'I' �'(r RINTNAM �L'� ! t DA '„ l.�t�,��l I A,PPRQYALlNSf�EC'C(i1GiSlGt�ATltR6 _ ��C�l��/� \ i . ` DATR e��/ // ( City of Fr�dley _ Buildfng Ins�e�t�ons Dep�rtment fi43! Univcrsily Aver�ue fiV�, rridlcy, MN' S5432' ?63-572-�604 I?AX: 7b3-5U2-4977 � From: unknown Page: 3/3 Date: 12I29/2011 8:48:36 AM �4 L'-' �.�lyv�vv � IvvV�.�.yLI�V�II ii J vl V 'y1 t �.{�� . ��.i��i ��..�_�~ Yi��f�j��.,'-�t��.. �.M� r-��Q `� -�.,� I I,�+iJ :,n�� J.' , ' � 0 1 �ii'y' J.�.�;,��; . W ••,�� ur�wtr�g ar �k�tcl� f�ct�c�;rtg lc►c�ttt�r� of Car�de��in� ur�it on b�ck of thi� ��ar,� �r��r�oaz e