PRE 2010 DOCSCity of F rii ley
SUBJECT
Permit No. /
AT TK TAP OF TH9 TWIN$
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PLUMBING PERMIT APPLICATION
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CITY WALL FRIDLRV OD452
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DATE
PARE CST
ROVED BY
Gf3-DG0-3433
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12Z15/73
1 1
800
Job Address
,
Owner 'Address Phone
Contractor Address Phone
Kind of Building
Use
Completion Date
Estimated Cost
Plumbing Fixture Rates: NO. RATE TOTA%
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Number Fixtures x $2.00®
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Future Fixtures x $1.50
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New Fixture -01d Open. x $1.50
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Catch Basin x $3.25
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Water Heater -99,,000 BTU x $3.00
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Ground Run Old Bldg. x $3.25
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Elea. Water Heater x $2.00
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_Gas FittingFees:
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1St 3 Fixtures X $2.00
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Additional Fixtures 75
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Gas Range -199,000 BTU x $5.00
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Repairs &Alterations
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Description: Code
State Surcharge e50
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TOTAL FEE $ 3
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The undersigned hereby makes application for a permit
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for the work herein specified, agreeing to do all work
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strict accordance with the City Ordinances and ruling
51350'77
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of the Department of Buildings, and hereby declare that
all the facts and representations stated in this
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applica on = and correct.
-Signature Date ?
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SUBJECT
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City of Fridley
MOVING PERMIT
7 6 4 5
AT THE TOP OF THE TWINS
PERMIT
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COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
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= ; CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
8/6/84
JOB ADDRESS 368 Mississippi. Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
Parcel 14
sig of Section 14 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Fridley HRA 6431'University Avenue N.E. 571-34543
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Hale Movers Inc. 7816 Central Avenue N.E., .Spring Lake Park, MN
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR �] MOVE ❑ REMOVE
8 DESCRIBE WORK
Move Building Out of City
9 CHANGEOFUSEFROM TO
STIPULATIONS
1 Dwelling Unit - 1 SAC CREDIT
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
None
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUC OR THE PERFORMANCE OF CONSTRUCTION.
Fee Waived
1 SAC CREDIT
PLAN CHECK FEE
TOTALFEE
Fee Waived
I ATUREOF ON' A�RATHORIZEDAGENT (DATE)
PROPERLY VALIDATED THIS IS YOUR PERMIT
"WHEN
C�r4ATE
SIGNATURE OF OWNER OF OWNER BWIDER I IDATEI
BLDG INS
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Effective Aug. 1, 1981
City of FridleyT
Permit Wo.
AT "It TV a TMG TWO$
MOVING PERMIT APPLICATION
Receipt Vo.
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rL-------COMMWi1TT 0[VELOPWNT On,
MdrsCTr4g MdseTo" W9
--• an WALL MOLLV "t
MIJOW
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OAT[
Val o/
APPROVED 6r
910-F21
12Z15/73
1 1
800
Property Owner Address one
i 5_S%
Present
Lot No
Block No
Tract or Addition
Legal
To Be
Moved To
-
over cess one icense o.
Expected Time in or Thru r eyEst
mate Cost
Type of Building
$
Routing
Approved By:
Utilities to be Notified and date Services Misconnected
M918, Gas Co. N.S.P. Northwestern Bell Tel. Co.
Ebgr, Dept. Cust. Bus. Ofc. Bus. Ofc.
372-4850 330—SS4Q. 332-4112
Date Date Date
Bovine Fees: loving Principle Building into Fridley $ 80.00
Moving Accessory Building Into Fridley $ 20.00
Moving through, within or out of City S 15.00
No State surcharge on Moving Pemits
Approved By Water 6 Sewer Department:
-All Bills Are Paid Services Are Disconnected
The -undersigned hereby makes application for a permit to move the building
described above, agreeing to do all work in strict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
all facts and representations stated in this appli ation are true and correct.
lo
Con r ctor
Date