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- - a.i� � v� vnv�ev � s��S�'t!aV� 14J 5J70��F/70 1'FaN6/ � :�1�/�',� �U:�i'� <br /> . <br /> To�r� ��: s ���iv�: <br /> �n���a �y: pe�t a: <br /> ���1 �� ���17� r ����� ��8�'�� ��������� � <br /> } . <br /> A[l� �nf��cn�tlon�sre�st be su�mitted fn full�b�fore pla,� review�will b� started. <br /> •, (p�ease print all irr�o►�atdon) <br /> • s...e._.�__�_ ________..____�_a___..�_�.__�.__ _.:.e_�._...�a.._. - - _-----.�w___��__ <br /> T�3('E ,�P�'I:ICA�l1'I' IS: (circle one) �'�NFR,QR COATTRACTOR <br /> � . , <br /> aroa s�x� ���: �95 C.o.sco�a',n� e.�.d a,r�: S53�J +. <br /> �. �r� o� ov�nv�: 1'�h., 1 ��h.;p.Q 1� �o�: �na�,�>9sa -y��-�o�o <br /> (worY) <br /> �AII.�G ADDRE.SS: � Cl'I'Y: ?.IY�: <br /> . � . , . <br /> - ---- <br /> C�N�RACTaR� PELLA WINDOWS&DOORS � • <br /> • C�NTA�TP�+R�ONS 15300-25TH AVE.N. STE. #100 <br /> PLYMOUTH,MN 55447 <br /> ' � 11+�AII.1�iG�DIt�'.53� 763-745-1400 �jP; <br /> �6"Y'AT� �.ICEtiTSE: N LICENSE#20165884 <br /> • �RC�iI[`TEC'I'/�NGII�1E�Yd: PlE$Or1E: <br /> M�#ILIl�iG A�]DRESS: C�'1'X• ZI�': � � <br /> NAME: REGISTRA'TION� <br /> 1`Y� OlE"HVOI�I�: New Addition� AAcessory Stn�caue <br /> Move R�model/Alt�rat9an Land �#lteration - <br /> �OPOSED�3'1�.VOItK(deser�be in detai�:���ae a �. ���5 � �,'Dc�r' <br /> ---- WI�,n. n�s�;�_ o�em.� <br /> , - - �------�- '_'_ <br /> S'I'O�r SQ.FG�T 4F�ACS FI.O��.t: <br /> PETTQ. OF�1E1�00�: ��GE STALIS: ATT. �ET. <br /> ES"I'II�I�,'I'ED CUlei3TRUCTi(.��1 V�►I.UA'I'I�N(excludfng lan�: � (�, 3�°o <br /> I h��reby apgly for a building p�r�ni��nd I�cknowledge tbat the informauon above is complete and <br /> �ccurate; that� work will be in�rifo�nan�ce with the ordinances and �odes of the City �nd with <br /> . ' the State�Iuildln� Code; that I�aderstand �s is not a pstmet �nd work is not ta start dvit�out a <br /> psranit; an�i that t� work wall be ia� �ccordance w�th the �pprov�d pY�n. <br /> � <br /> �PLI�AA�'I''S SIGMA,1't1��: � p�'l� D�,,1� ��G-Qa� <br /> 1�1�7'.�! ,� e ��� ���,ats r�qufre separote perenit approv�l by P�l�c� Depa�tent and <br /> G7ity Cou�ell b(1��cya prlor to the event. 1�lon��rm�dted sverat� sv�ll net b��Ylowcd. <br /> �orniue,� Ti,.�,. C,,,, �A 1 . A�D�! D..:_ 1 m:__ r _ . ni � .nmr <br />