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� TRANSFER OF METER
You are hereby notified that the property located at
has bee� sold xo r and meter should be put in their name.
Date of transfer Final Meter reading
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CITY OF FRIDLEY PERMIT NO.: 20��oo�so
6431 UNIVERSITY AVENUE NE �
FRIDLEY, MN 55432 DATE ISSUED: 02✓06�20�2
(763) 572-3604 FAX: (763) 502-4977
REPRINTED ON 3/9/2012
ADDRESS : 5853 HACKMANN AVE NE PERMIT APPLICANT:
PIN : 243024240072 DEFORGES PLUMBING INC
LEGAL DESC : PARKVIEW MANOR 2009 VIRGINIA AVE S
: LOT 3 BLOCK 3 ST LOUIS PARK,MN 55426-
PERMIT TYPE : PLUMBING-FIXTURE BASED
PROPERTY TYPE : RESIDENTIAL (952)292-3550
CONSTRUCTION TYPE : REPLACEMENT
BUILDING INSPECTION RECORD
24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS.
CALL FOR INSPECTIONS WEEKDAYS:8 AM TO 5 PM
INSPECTION TYPE DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR
GAS PIPING/AIR TEST . 02/08/12 RONJ
PLLJA�fBINE3 FINAL 02/08/12 RONJ =
INSPECTION COMMENTS:
IN ACCORDANCE WITH CITY ORDINANCE,NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL
WORK HAS BEEN APPROVED,AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT.
' THIS CARD MUST BE POSTED AND VISIBLE A7'ALL TIMES UNTIL WORK IS COMPLETE.
Permit No. :
, , c� �"��`��S� CITY OF FRIDLEY * �0E ISSUED: o�6�2��u 0 * `
, �f��'
� 6431 UNIVERSITY AVENUE NE
� FRIDLEY, MN 55432
763 572-3604 FAX: 763 502-4977 �
REPRINTED ON 2/9/2012
ADDRESS : 5853 HACKMANN AVE NE
PIN : 243024240072
LEGAL DESC : PARKVIEW MANOR
: LOT 3 BLOCK 3
PERMIT TYPE : PLUMBING-FIXTURE BASED
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : REPLACEMENT
NOTE: MOVING WATER METER AND GASLINE FOR FIREPLACE.
APPLICANT PLUMBING FIXTURE FEES 35.00
DEFORGES PLUMBING INC STATE SURCHARGE,PLBG FLAT 5:00
2009 VIR("iINIA AVE S TOTAL 40.00
ST LOUIS PARK,MN 55426- PAiD WITH CHECK# 5143
(952)292-3550
Minnesota State License#:61558PM
OWNER
CHRISTIANSON,JON
5853 HACKMANN AVE NE
FRIDLEY,MN 55432-
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 180 days or if constructio
or work is suspended or abandoned for a period of 180 days
at any time after 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 Date � �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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