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