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P - 35821r�ann. BU,1�C�Illg ' Inspections 763-572-3604 763-SQ2-4977 FAX DAi't: ► " qAl',t -- SIT� AUllR�SS �� THIS APPLlCANiT iS: PRf)PERTY OWNEIt/ T€�1TANT t."Y)l�17"RAG"fY}B SUBMIT A GUPY OF �rou� srnr£ t.�t�rs� wCrtt APPIdCAT[OM P�RMIT TYlE � rrio�ey �o: a��tt>atii3tRS E'age: ?15 U3te: 3d26/20E�91Q:43:19 AM -� A�'IEC��ANICAL P���.�4 �� � RESID�NTIAL APPLICATIUN R��vea sy:�'��_. CITY QF FRIDELEY D�� �'� E-t►iAlL ADt2RES5 O nwN�t �i�i.� t STATE l�T�! (!CN�lTACTP'tRSOAt ••• •••� ••�••� n.v. 1 �ru�r�narraQn�n STA7ELICENSE �TVV vvnvv��v�n �xr nwtti nuu,v.� ' ' c�rnr srw-r� � / �� TY�G t� �i�ORK: } � t�vr FAMtLY � [7 TNKI irAMiLY DETAILED DE�itiPftON O� Wt3ltK i �� �-�.; :t � . a . , .:� �-- � � e� }�xs w� s�sBa t�� su.r r�ur �ixru�es Baccsrr _�na. ��x-ri� oucw-ra �rwt. �e �� r�rs ��p,� � ,��;: �",� ,� ��aun � � t oo�? �: C�?� �: �;�� � ,��: �.: � �AAC S25.00 _I�I�TI.AdCE tGJ►s?ii5.00 GAS RAt+GF11D�vE�1 il8.o� �A1KTE3AIRt.XCEtANGt��tS Rtlt�(rU000t�35.96 _I��MfrASt��.LfI6tl6 ' 1�il.�R i35.90 i35110 CsAS UNti liTRf�.00 CHIMi�Y UIV�ltilO.OD ,AS URYtR�t@.60 rOOd. }�JRTk�txi5.60 _UUCT WUItK Si6�90 . GrAS T!l�1G Sl9� Y�t�N A'F[f� tis As THtS tS AN APPLlCATK?N l�f3R A l£RMCC-NUT YALlD tlNilL PROGF:SSEB I hcrcby ap�ply for a building pcxmrt and I a�knowicdgc tl�t d�c inforrnatiae abovc is ccxr�tc�c �d ac�v� tt�t ti� work wil! bc in confcmr�ec vNitti dic a�dit�snaxc and c�dCS ofthc City of Fridtcy �d wit6 thc Mi� Ca�r�an Codcs; t�t t�dcxs�a�d th� is not a pctmit but atty sn a a pcxmit and waic � not i� �t wit�rouz a pc�tai� that tl� wa� wiit bc iu aocatd�cc with thc aPProvcd ptan in thc casc of aii wak w' roquires rcvicw scd approrai of p . - SICNATUREni�APPLtCA� ��� (� . �:i�"__ ���►� �►�u D �P�n�te.. �n � z� �t " �fity of Fridl�ey Bnitdi�g IBS�ec#io� Deps�rtm�t 643 2 Usuversit�r Ave�e NE, Frid�ey, MN 55432 ?63-5?2-3bt14 FAX:763-502-44'M