Meter Swap �ity of,,�ridley Water Meter Information
'C�IL�(763)572-3604
TO SCHEDULE FINAL INSPECTION
� ��_
Install Address o� --- � ��
Type: ❑Restdential mmercial ❑Irrigation
Cost of Meter 1`'�j�
Tax '�.N � Pai n�tials❑
Totai 3 �'��
Owner
Instalier S{�1�1(��c�'S P�MgI.V�'a
Inspected
Meter# ��Q�S 93 Size 3��f�� ❑
ERT# ���'4�� Dials �' ' �
Inspected Reading �
Uspected By
Date 7—� g 1}�
Notes
Whitle-Customer Canary-Utility Bi{ling .
ManUa Tag-Secure to meter until final inspection,
inspector to return to UB
r .�, ` � � S��-� 1 �"— �'Sla.�c�—vo .
..�.-� ,
� CIT�' OF FRIDLEY ��� � i
6�131 UNiV�i251"I"�' AVENUF.,1�1F ��� I
FRIDLEY, 11�1N 55432- � z o � � - o i � � z .+
(763) _572-360� FAX: (753} a02-4977 ISSUED: 06/23l2U1^,
Permit #2017-01172
r----�
� 4LIDRFSS : 2b0 S7TF�Ati'E NE
� PTh : 233a24320UI3
LGCAt.DESC : PRIAE,GY MARKE"i'2ND ADD
: LOT 2 BL,OCK 1
PERM[T TYPE : PLUMBING-LABOR S�SED
PRt)PGRTY TYPE : COMMERCCAL
CO�VSTRUCT[OI�T TYPE : NE��V INSTALI.ATION
VALUATI(}N : $ 9,550.00
N01'C�: CALi�FOR INSI'LCT10N WITt-lIN 10�AYS
();t1c1Nr1L MA'ITtLI:SS PAC1'c)RY
AI]z)1�A'PHR{�OM AIVt7 MOl'StNK
����1��Z�
APPt,ICA1VT PLIJMBING PCRMIT FEE,COMM 119.38
�TATi SURCI•�(ARGE,PLRG VAt,(3E �1.7R
SPRiGC�S Pi,UM[31NG&HEATING CO tNC n� TdTAL i24,i6
32bt?PANt1M RD _
ST PAUL,MN 55t 10- �i�;t, C � �`ayment(s)
(6511224-5516 ��^ (����SS•� CHEC�t 82445 01172 I?4.16
!Lfit�nesota S#ate Lice��se k:PL[iCr-PC643449
(}W1YFR ^ ..
�'-L FI21L) : LLC S�/'J�-� �� �� .. U
I ��Q:�u v�i. v r�w x o�� �/D����,�� .�..:,
� �:UEN !'RA IE,MN SS344- - d'
�t�t S N%�G4
J ��t�4
ACR EtNENT AIYD SWORN ATEMENT y�
� Tti;s permit becomes null and vdid if work or constru�Kion authorizcd /0���g� ��xO v
� �s not commenced witin 180 days�r if construction ar work is �C�.�y�
suspended or abandoned for a perio@ of 480 da�s at any time after
avork is commenced.
i hereby cerlify that i have read and examined this applicatiort
ard know the same to k�true and correck. All provisions ot laws
ard ordinances governing ihis type of wark v+rip be complied with
whether specifiied herein or not. The granting of a permi£does not
preSume to give authoriry fo vioiate or canGei the provisicns of any
other state or locai law regulating construction or fhe performance of
� c.�nstruction.
,appficanf _,___Oate
,n��-�'�4�J'0. .
E31dg Insp "t ' ,Date �
SEPARA'i'F_PFE2MI'I`S REQUtRE[�FOR t�V(JR[C OTHER THAIV t.)ESCRI$�D ABOVE.
� S� il �f�O