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, _ . a.+� � v� v��v�vv � v�s�tr av.� 16� �J746'l/7v I`t a�b/ � .'����., ��.��� <br /> . <br /> T�� ��: s ��� �iv�� <br /> �r�na ��: p��t a: <br /> . CYT"Y (�� OIt01�0 � �IJI�DY�G I'��T .�'��,ICA�O�T <br /> , - <br /> At� ��fa��°rn�d�n a�ust be submitt�d 9n full p�fore plan review �w#ll b� start�d. <br /> �� (pyease nriat all dreformarlon) <br /> � a...�._.___�_ _w__�___�_e__a�,__..__._._ ,�.a_�.....�_ ---��_��__ _ <br /> THE �lP��:IC�lil`I' ��: (cir�le oae) �'�NF.it ^�COATTR�CTOR <br /> .. arc�� s�� ���ss: a a�o �.��.��, �-�-��c;�c� �: �53�� . .. <br /> �: �� o� o�n�x: u�.� ��.�. ��,Sa� �o�: c�o��� ��a���.ras�1 <br /> (wmrY) <br /> 11+�1YL,IteI(x ADI}It�.S,S: �' CITX: ZIP': <br /> . � . , <br /> _ --- <br /> CON�'Rt�CT4R: PELLA WINDOWS&DOORS � • <br /> � C�NT��TPE��ATi 15300-25TH AVE. N. STE. #100 - - - - L <br /> PLYMOUTH,MN 55447 <br /> � ����a��a�D�: 763-745-1400 '��; <br /> �6'Y'AT� LICEl�iS�: 1� LICENSE#20165884 <br /> � ASC�iI'I'�CZ'//�NNGII�tEEl�: PHONE: <br /> Mr�.iLING�IDR�SS: ��g*y: �Ig': . . <br /> NAME: REG1�1'RA'TION� <br /> TY� O�' VVOI�I�: �T�w �Qdition A�essory 3tn�cttu�e <br /> Ivlove R�model/Alt��atlon Land a411r.er�tion - <br /> �OPOS�A VVOItK(descrdbe in detai��lnc�4� c�.;,,�d�r�,�.3.J,� ��, 1 `t�n�ru <br /> c�trc �.�..��.1, �.Y, �n.'. fi an.e •, <br /> ST'O�II�: S�.F`��T C)F�AC��Yi: <br /> Pd�. (DF �E�O�tdIS: Cg�G� STAI.IS: ATT. I)ET. <br /> ESTIM�'1'ED COIeTSTR.LICTI0I�T VAI.�I'A'1'IOM(excludfng lan�: � y 5 , 0� 0�1 �v�o <br /> I h�ceby apply for a building p�rmi�and I�cktiowledge thh�t the informataan above is com}�(ete a�d <br /> accurate; that � work will be ici c,�riformance with the ordinances and �odcs of th� Ciry �nnd with <br /> , ' the State�uilding Code; that I�nderstand �s is not � permet and work is not ta start wit�out a <br /> pea°�ait; � tliat the work wall be in accordance with the �ppaoded pl�n <br /> �I'1..I��►I�'i''� SIGMA'I`LJ��: fl)A +° � • C� <br /> 1V�7`E! �glornes �v��at� r�qufr� rep�n�te perm�t approv�l by P�l�c� Depa��tent a»d <br /> G�ity Corancll��I�a}+s prlor tm th� everat. 1�1on��rntt�ted sver�t,s w�ll�et b� aYrowecl. <br /> Rarnive.� TiM„ C..„ �A t . A�Dlf n..:_ 1 m:_ _ r _ _ n� � .nn�� <br />