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Home My WebLink AboutResidential Permit Card (5) CITY OF FRIDLEY 7071 UNIVERSITY AVENUE NE ISSUED: 06/10/2022 FRIDLEY,MN 55432 (763)572-3604 FAX: (763)502-4977 Permit#PR22-000031 ADDRESS : 5831 WEST MOORE LAKE DR NE PIN: 233024140008 LEGAL DESC:LOT 8 BLK 1 DONNAYS LAKEVIEW MANOR ADD, SUBJ TO EASE OF REC PERMIT TYPE: Plumbing Residential Permit PROPERTY TYPE:RPZBack Flow Preventer CONSTRUCTION TYPE: RPZ/Back Flow Preventer VALUATION: 0 NOTES:REMOVE RPZ AND CAP 1"LINE. CALL FOR FINAL INSPECTION PROVIDE TEST TAG,ANNUAL TEST REPORT TO THE CITY. (SEE ATTACHED FORM) APPLICANT Description Total Cost Permit Fee 35.00 State Surcharge Fee 1.00 Interstate Testing,LLC P.O.Box 55 TOTAL 36.00 Anoka,MN 55303 Payment(s) Credit-PR22-000031 -7853904207YZI/z36 OWNER ALVARADO,ANGEL A 1527 ADAMS ST NE MINNEAPOLIS,MN 55413 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. 05/31 Applicant Date /2022 06/10 Bldg Insp Date /2022 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 7071 UNIVERSITY AVENUE NE ISSUED: 06/10/2022 FRIDLEY,MN 55432 (763)572-3604 FAX: (763)502-4977 Permit#PR22-000031 ADDRESS : 5831 WEST MOORE PERMIT APPLICANT: LAKE DR NE PIN: 233024140008 Interstate Testing,LLC LOT 8 BLK 1 DONNAYS LAKEVIEW MANOR ADD, P.O.Box 55 LEGAL DESC: SUBJ TO EASE OF REC Anoka,MN 55303 PERMIT TYPE : RPZ/Back Flow Preventer PROPERTY TYPE: RPZ/Back Flow Preventer CONSTRUCTION TYPE: Remove RPZ and cap 1" Line NOTES:REMOVE RPZ AND CAP 1"LINE. CALL FOR FINAL INSPECTION PROVIDE TEST TAG,ANNUAL TEST REPORT TO THE CITY. (SEE ATTACHED FORM) BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 4:30 PM Inspection type jDate linspector Status Comments Plumbing Final Inspection INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE,NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED,AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE.