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2019-02011 FURNACE - AIR CONDITIONING*2019-02011* ISSUED: 10/14/2019 CITY OF FRIDLEY 7071 UNIVERSITY AVENUE NE FRIDLEY, MN 55432- (763) 572-3604 FAX: (763) 502-4977 Permit # 2019-02011 ADDRESS :1674 68TH AVE NE PIN :133024110002 LEGAL DESC :UNAVAILABLE :LOT 0 BLOCK 0 PERMIT TYPE :HEATING - FIXTURE BASED PROPERTY TYPE :TOWNHOUSE CONSTRUCTION TYPE :FURNACE - AIR CONDITIONING NOTE: REPLACE EXISITNG FURNANCE AND A/C 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 RICE CREEK TOWNHOMES 1662 69TH AVE NE FRIDLEY, MN 55432- RICE CREEK TOWNHOMES 1662 69TH AVE NE FRIDLEY, MN 55432- Minnesota State License #: HEAT-MB005327 APPLICANT AIR CONDITIONING FEE 25.00 FURNACE FEE 35.00 STATE SURCHARGE, MECH FLAT 1.00 TOTAL 61.00 Payment(s) 61.00CHECK60892 10/14/19