EM22-0000014- f CITY OF FRIDLEY
7071 UNIVERSITY AVENUE NE ISSUED: 05/27/2022
0, °�� � G� FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 502-4977 Permit # EM22-000001
ADDRESS : 1560 69TH AVE NE
IN :133024110002
LEGAL DESC : THE E 3/4 OF NEIA OF NE1/4 OF SEC 13 TWP 30 RGE 24, EX S 687 FT THEREOF, ALSO EX THAT PRT INCLUDED IN
MN TRANSFER R/R CO R/W, SUBJ TO EASE OF REC
PERMIT TYPE: Electrical Multi -Family Permit
PROPERTY TYPE: Elec Services, New
CONSTRUCTION TYPE: Elec Services, New
[NOTES: PANEL UPGRADE.
CALL ROBERT CLAUSON AT 651-777-7885 WEEKDAYS FROM 7-8:30 AM FOR REQUIRED INSPECTIONS.
ELECTRIC PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE
APPLICANT
Killmer Electric Co., Inc Description Total
5141 Lakeland Ave Cost
Crystal, MN 55429 Panel Changes (reconnect existing circuit or feeder for panelboard 100.00
replacement)
State Surcharge Fee 1.00
OWNER TOTAL 101.00
RICE CREEK TOWNHOUSES
CO1336 W TOWNE SQ RD Payment(s)
MEQUON, WI 53092 Credit - EM22-000001 - 7821912795?101
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.
Applicant Date 05/27/2022
Bldg Insp Date 05/27/2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.