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PERMIT NO.
F.D.
CITY OF FRIDLEY PERMIT "'^ 1���
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FIRE DEPT. UNIFORM FIRE CODE
RECEIPT NO.
FIRE PREV. BUREAU ;,�� � � w,�
City Hall, Fridley 55432 NUMBER REV. DATE PAGE OF APPROVED BY
612-571-3450
FD. 15 10/81 1/ /1 RDA
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Job Address
�'���€��,��:�r� �` :}�;�r::icr�,p�s I�� ."<..i?�; Z�chaN�,- (_�. ��,�:;-�� Grave 5�.:7Fy
Owner ' � Address `
� � i' ;;�''►.� �,����� n�� EiMI`, �`;h�l,r �1.•i nnt�rTel. 75�0- r� ,-a
Contrae�tbr� Address 1 `
Architect or Designer Address TeL �
Occupancy Classification
Class of Work: 0 New ❑ Repair ❑ Remove ❑ Use/Operate
Brief Description of Work i�'=!.�r��;"'�, �n;��r 1 1 at't�� �:.` P,'�'�r �.�n:� �� I 4�1�:
Stipulations r'{`� 'ri�{t '? ia'�,o�f i+�t't�F��fit�r�
This PERMIT is granted subject to compliance with applicable codes,ordinances and regulations governing the above described
operations.This PERMIT is non-assignable and shall be posted in a conspicuous location at all times in the place of business for
which the permit is granted.
Date ��=f-j'�-���p�"" `1 S 1g �� Robert D. Aldrich
, Chief,Rre Dept.
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