57991PERMIT
City of New Hope Permit Type:Electrical
Permit Number:NH057991
Date Issued:03/06/2019
Site Address: 5900 Cavell Ave N
Lot:022 Block: 001 Addition: Meadow Lake Terrace
PID:06-118-21-24-0104
Use:
4401 Xylon Avenue North
New Hope, MN 55428
763-531-5127
www.newhopemn.gov
Description:
Sub Type:Homeowner
Work Type:Undefined
Description:Added outlets, lights, switches, and re-wire
2 Trip Charge
Comments:Per Steve Tokle - refunded $40.00 to homeowner. Permit cost should have been for 1 trip. 10/15/19
Fee Summary:Revenue CodeAmountDescription
Electrical Two Trips $80.00 9001.4318
Surcharge - $1.00 $1.00 9001.2383
$81.00 Total:
THIS PERMIT IS GRANTED UPON THE EXPRESS CONDITIONS THAT SAID OWNER OR AGENT TO WHOM IT IS GRANTED,
AND CONTRACTORS, AGENTS, WORKERS AND EMPLOYEES SHALL COMPLY IN ALL RESPECTS WITH THE
ORDINANCES OF THE CITY OF NEW HOPE.
BY CHECK PAYMENT, YOU AUTHORIZE THE CITY TO USE INFORMATION FROM YOUR CHECK TO MAKE A ONE-TIME
ELECTRONIC FUND TRANSFER FROM YOUR ACCOUNT.
Contractor:Owner:- Applicant -
Benjamin L Jore
5900 Cavell Ave N
New Hope MN 55428
Applicant/Permitee: Signature Issued By: Signature