2019-02078 MECHANICAL*2019-02078*
ISSUED: 10/09/2019
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432-
(763) 572-3604 FAX: (763) 502-4977
Permit # 2019-02078
ADDRESS :1539 EAST WINDEMERE CIR NE
PIN :253024110066
LEGAL DESC :INNSBRUCK 5TH ADD
:LOT 19 BLOCK 2
PERMIT TYPE :HEATING - FIXTURE BASED
PROPERTY TYPE :RESIDENTIAL
CONSTRUCTION TYPE :NEW INSTALLATION
NOTE: INSTALL AND VENT NEW BATHFAN
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
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.
AGREEMENT AND SWORN STATEMENT
OWNER
BLAKESLEE, DON & SUSAN
1539 EAST WINDEMERE CIR NE
FRIDLEY, MN 55421-
ELK MECHANICAL HVAC INC
6361 SUNFISH LAKE CT
STE 100
RAMSEY, MN 55303-
(763) 323-9773
Minnesota State License #: HEAT-MB003679
APPLICANT HEATING PERMIT FEE, FIXTURE-BASED 35.00
STATE SURCHARGE, MECH FLAT 1.00
TOTAL 36.00
Payment(s)
36.00CHECK38073