Meter Swap City of Fridley WBter Meter information
= CAl�.(76�)572-3604
- ' TO SCHEDULE FINA!INSPECTlON
fnstall Address y �t.�tl���ti-�;2.ci 5 cKs'
Type: �Residential mmerc rrigation .Q,
Cost of Meter �����
Tax 5 , «,�- Pai itials❑
.- -���
Total _5t S`7, tl�-
Owner J�P� D�-+���..�:P�c.�►`
Installer �Q /Y1�G.N�,�1 C/}�--��1,1�h 13 G,
Inspected
Meter# �L�y D 7S`S Size ( j�a„ �� ❑
ERT#�j(�3�'�I 3� Dials � ❑
inspected Reading ��
inspected By
Date �"�„'� ,
Notes
White�Customer Canary-ihility Billing : .
ManilaT�Secure to meter untii flnal ins�qection, �
inspe�tor to return to tlg,S� ��,(p :
City of Fridley Water N�eter Information
CAL!(763)�'�-�Q4
T�SCHEDULE FlNA!INSPECTION
InstallAddress t'1'� �2�2✓ 57/�c�
Type: ❑Residential mmercial ❑irrigation
Cost of Meter 1 S� . �
Tax (s�',�$ Pai itia �
Total 1 U���.$
Owner �`�'V D r� /.?�:�1/�:z�/'�r�„�-r
Instalier .�'?�'� ,M�-Z�/�}y t Cr4 L �[-u��„
Inspeccfed
Meter# �'f 8�J0(�09�size a,-" ❑
ERT# �U�7 oia�s g a�l� d'°
lnspected Readin� /z.T'+�
Inspected By
Date �"—"��—�'�
Notes
WhiEe-Customer Canary-UtNity BUling �
AAsnila Tag Secure to meter ur�tat final inspectt4n, -�
inspector to return to UB S� �,
.� i �-- 5���3J 5v.��5----
r � � CITY OF FRIDLEY
� 6431 UNIVERSITY AVENUE NE
FRIDLEY,MN 55432- * 2 0 � � — o n s o e * !
(763) 572-3604 FAX; (763) 502-4977 ISSUED: 04/03/201�
ADDRESS : 44 NORTHERN STACKS DR i
PIN : 273024420008 1v�7�,,"
LEGAL DESC : UNAVAILABLE �
: LOT 2 BLOCK 1
PERMIT TYPE : PLUMBING-LABOR BASED •
PROPERTY TYPE : COMMERCIAL . !
CONSTRUCTION TYPE : NEW INSTALLATION
VALUATION . : $ 196,000.00 �
NOTE: CALL FOR IlVSPECTION WITHIN 10 DAYS OF INSTALLATION '
�
�
� PLLTMBING LABOR AND MATERIALS INCLUDING(2)FLAMMABLE WASTE TANK,(3)FLOOR DRAINS,(20)ROOF DRAINS i
APPLICANT PLLJMBING'PERMIT FEE,COMM • 2,450.00
STATE SURCHARGE,PLBG VALUE . 98.00
GR MECHANICAL PLUMBING AND HEATING TOTAL 2,548.00
12'401 IRONWOOD CIR payment(s)
ROGERS,MN 55374 CHECK 42666 00,508 2,548.00
(763)42&2663
Minnesota State License#;FLBG-PC643100 •
OW�1ER
HYDE DEVELOPI�NT ` ��L -�,u
�Cy� �O�b.-</
1354 LAGOON AVE S
MINNEAPOLIS,MN 5540$-
AGREEMENT AND SWORN STATEMENT '
This permit becomes null and void if work or construction authorized
is not commenced witin 180 days or if construction or work is
suspended or abandoned for a period of 180 days at any time after
worfc 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 spedfied herein or nok�The granting of a permit does not
presume to give authoriry to violate or cancel the provisions oE any
other state or local law regulating construdion or the performance of
construction.
Applicant� Date - .�
i
Bidg Insp Date i
�ARATE PERMITS REQUIRED POR WORK OTHER THAN DESCRIBED ABOVE.