P - 41402From: 651 281 0358 Page: 2/2 Date: 9/28/2011 3:09:31 PM
Building PLU1VI�r�TG
�nspections �ESI���T�A►L �PI'Y.,Y�.A,TION
763-572-36U4 CITY Q�" �'+�t,��LEY
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TYPE pF WpRk. i ��'
I�AMILY
n�r'n�L.ED D�sCtue�riorr oF worzr�
l7 TW4 fl1M1LY
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FFES ARF. FJASED l7N $IU.UU PER FIXTWRF., EXCEPT WHliEti, NOTF'D. FT}�'�JRES: UNUICATE 7t]Tq1, NUMBCROI� 1"sACH BEI,.QW), ►v(R+ilMUM fEE
E35.SD.
� BATH 51hiK/i,AV FLOpR AftAiNR _ 51•IfJWGR WATER PIP[tJG
13A•rcrtUii ��iAS YIYING (Nk6A Cf'i'Y LlCj SWtMNtINCi p�OI� �WATEkSt7FINER(S35)
� GLOT[IGS WASl�1%K �„o KTTC[I�N SINK WATER CI.Q$F,'{' � BA�JGFLflW Y1LL"Y. �15)
�T�1ST'iWASi-Iliit „i i�AUNDI�Y'I'KAY WA7'Isft HEATER ($33) FQR lRRTGA7'[ON
� WATE[t ML•"TGK � OTEiER
Tl�llS FS AN APPL[CAT(QN FOR A I"LFtMl't'-NdT VAI.IC� LII+I'►'[I. PROCCSSL•U
i harcby apply for a nlurnbing permit and i sckiiawledge thne thc inforn,ati�n aUave is camplote and accurata; tlaat the work witt be in
conformHnce with the ordin��ees �ncl oodcs of the �iiy of f'ridl and with the Minnes�7tn Construction Codes; that 1 undcrst�nd this is
sat � parmil but only an a��licn.tion fur �� pern,it and wol� is,r( to st�rt without � parmit an sitr; tl,3t the work wil! be in acwrdance
with d�e �spprovcd plsn in the e c� ! w r wty'ch rcqui re iew nnil �ppm al of ns. !�1�
st�,va�ruR$aFarrLicnN•r��. �itlV. � ?RM'AN.AMR � ti�su �"r5�a,,a Tw'1`L' �}Y,-�t 1.!
Qf Fr�ai�y
13uildi nsPe�tians �►ep��erl;ment
643 I Universily Ave�iue NG, T�ridt�y, MN 554�2
763-5�2-3604
�AX: 763-502-4977