EM22-000002-1-r�m.. �4_ ra v
CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/27/2022
FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 502-4977 permit #EM22-000002
)RESS : I?fi 69TH "ENE
:133024110002
AL DESC : THE E 3/4 OF NE1/4 OF NE1/4 OF SEC 13 TWP 30 RGE 24, EX S 697 FT THEREOF, ALSO EX THAT PRT INCLUDED
TRANSFER R/R CO R/W, SUBJ TO EASE OF REC
MIT TYPE: Electrical Multi -Family Permit
,PERTY TYPE: Elec Services, New
ISTRUCTION TYPE: Elec Services, New
'ES: PANEL UPGRADE.
,L ROBERT CLAUSON AT 651-777-7885 WEEKDAYS FROM 7-8:30 AM FOR REQUIRED INSPECTIONS.
CTRIC PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE
ADDRESS: 1578 68TH AVE NE
Killmer Electric Co., Inc
5141 Lakeland Ave
Crystal, MN 55429
APPLICANT
OWNER
RICE CREEK TOWNHOUSES
C01336 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.
Description Total
Cost
Panel Changes (reconnect existing circuit or feeder for panelboard 100.00
replacement)
State Surcharge Fee 1.00
TOTAL 101.00
Payment(s)
Credit- EM22-000002 - 7821911562?101
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Applicant Date 05/27/2022 i ----
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Bldg Insp Date 05/27/2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
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