EM22-000009T�
CITY OF FRIDLEY
// �} .yy 7071 UNIVERSITY AVENUE NE ISSUED: 05/27/2022
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/5 l FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 502-4977 Permit # EM22-00000 s
ADDRESS: 1560 69TH AVE NE
PIN :133024110002
LEGAL 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
INCLUDED IN MN TRANSFER R/R CO R/W, SUBJ TO EASE OF REC
PERMIT TYPE: Electrical Multi -Family Permit
PROPERTY TYPE: Elec Services, Upgrade
CONSTRUCTION TYPE: Elec Services, Upgrade
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
TENANT ADDRESS: 1571 68TH AVE NE
APPLICANT
Description Total
Killmer Electric Co., Inc
5141 Lakeland Ave
Cost
Crystal, MN 55429
Panel Changes (reconnect existing circuit or feeder for 100-00
panelboard replacement)
State Surcharge Fee 1.00
TOTAL 101.00
OWNER
RICE CREEK TOWNHOUSES
C01336 W TOWNE SQ RD
Payment(s)
Credit - EM22-000009 - 7821891521?101
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.
Applicant Date 05/27/2022;;
Bldg Insp Date 0S127/2022
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.