EM22-000004CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/27/2022
FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 502-4977 Permit # EM22-000004
S : 1560 69TH AVE NE
IN :133024110002
EGAL DESC : THE E 3/4 OF NEIA OF NEIA OF SEC 13 TWP 30 RGE 24, EX S 687 FT THEREOF, ALSO EX THAT PRT
JCLUDED IN MN TRANSFER R/R CO R/W, SUBJ TO EASE OF REC
ERMIT TYPE: Electrical Multi -Family Permit
ROPERTY TYPE: Elec Services, Upgrade
ONSTRUCTION TYPE: Elec Services, Upgrade
'OTES: PANEL UPGRADE.
'ALL ROBERT CLAUSON AT 651-777-7885 WEEKDAYS FROM 7-8:30 AM FOR REQUIRED INSPECTIONS.
LECTRIC PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE
ANT ADDRESS: 1609 68TH AVE NE
APPLICANT
Killmer Electric Co., Inc
5141 Lakeland Ave
Crystal, MN 55429
h1VAWI O7
RICE CREEK TOWNHOUSES
CO1336 W TOWNE SQ RD
MEQUON, WI 53092
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 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.
G
Applicant Date 05/27/2022
Bldg Insp Date 05/27/2022
Description
Panel Changes (reconnect existing circuit or feeder for
panelboard replacement)
State Surcharge Fee
TOTAL 101.00
Payment(s)
Credit- EM22-000004 - 7821909150? 101
Cost
100.00
1.001
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.