Meter Swap City of Fridley Water Meter Information
� CALL(763j 5723604 .
TO SCNEDULE FINAL INSPECTION
instali Address � �f I � ;!t��,y�,-l�,z, �,,�.
Type: esidential L7Commercia) C1lrrigation
Cost of Meter �"?�-�S�
Tax Paid ij�(s❑
Total �"7�,sS" ��
Owner
instal(er �l�n�,pr�✓L 5�rz-v�Ca [��,✓-�'�
tnspected
Meter# L1�)� ���,�,;7 Size �i� `� ❑
ERT# (�g� $p��—Dials � 0
inspected Reading
inspected By
Date �� I 5��k' �
Notes
White-Customer Canary-Utitity Biiling .
Manifa Tag Secure to meter until finat inspectlon,
inspectorto returnto UB
5 Permit No. :
CITY OF FRIDLEY * z B 1 6 — PJ 2 6 S 6 *
DATE ISSUED: 1 U15/2016
6431 UNIVERSITY AVENUE NE
FRIDLEY,MN 55432- �J �S /1 y,� .- �
(763 572-3504 FAX: 763 502-4977 � �
ADDRESS : 6413 ASHTON AVE NE Jc'�u,� 2� ��
PIN : 153024410094 J
LEGAL DESC : UNAVAILABLE S� ����g
: LOT 49 BLOCK I
PERMIT TYPE : PLUMBING-FIXTURE BASED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : NEW INSTALLATION
NOTE: NEW HOME PLUMBING TO INCLUDE:
(2)BATH/SINK LAV,(1)BATHTUB,(10 CLOTHES WASHER,(1)DISHWASHER,(1)FLOOR DRAIN,(1)KITCHEN SINK,(1)LAUNDRY
TRAY,(1)SHOWER,(2)WATER CLOSET,(i)WATER HEATER,(1)WATER METER
APPLICANT PLUMBING FIXTURE FEES 120.00
PLUMBING SERVICE CENTER WATER HEATER FEE 35.00
14855 ABERDEEN ST NE WATER SOFTENER FEE 0.00
HAM LAKE,MN 55304 BACKFLOW PREVENTER FEE 0.00
(763)780-9091 STATE SURCHARGE,PLBG FLAT 1.00
Minnesota State License#:PLBG-PC646033 ��TOTAL 156.00
�ayment(s) �� �
CHECK 46029 02686 156.00
OWNER
BOULDER CONTRACTING
6413 ASHTON AVE NE �
FRIDLEY,MN 55432- �
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin i 80 days or if construction
or work is suspended or abandoned for a period of 180 days at
any time a8er work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. 'The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date �
Bldg Insp �J�� Date � � �� ��