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; •..� � �. �si v�e,.�a.. � v��.�rrawllJ N70�'6/70 1'ta!!6J � :'�1L1�1',, ��:7�� <br /> Tt�l F�: s n��iv�: <br /> 1Ent�red �3y: Permit�+: . <br /> . CTT'�' �� Olt�I�O - �IJILDIP�IG I'E��' �'��.ICA�O�T <br /> , . <br /> . Att �nf�c°rnatlan a�►e,st be sub�itted �n full�fore plan revaew �wfill be started. <br /> �� (p��ase prt�at alt��"onr�ardon) <br /> • �._o�_�_ ____._ w�___�..�,_____�_._ _�.a_________________...-- _- - -------�______...�__ <br /> T�3fE �KIP'�'I:IC�' I3: (ctrcle one) �'�NF.�t OR COATTRt�CT4R <br /> JO� SI'1'E�D�3: o�� :,`i �'• <br /> __ 1�►I�': <br /> �. �r� o� ovv�R:�� � �no� �o�: �o���9�a.y�-1 . � <br /> � �a y <br /> (wmrk) <br /> 11+IAYLII'�G ADDRE.S�: CITY: Z%]P: <br /> . � . , <br /> -- _ _ <br /> (�ON�RACTaR� PELLA WINDOWS&DOORS � • <br /> • CONTA�T��.S�NS 15300-25TH AVE.N. STE.#100 - -- '`� <br /> PLYMOUTH,MN 55447 <br /> � ���.��r' 1�D�; 763-745-1400 '��; <br /> ��'Y'AT� LICE1vS�; N LICENSE#20165884 <br /> . �CI�I'T�C�'/ENGIlliEEYd: PHOPtE: <br /> MAiLING A1DlDRES3: Ci'I'1': Zi�': . . <br /> NAME: �,GISTRA'TIUN� <br /> TY� O� 'V'VOI�: New Add"uion A�essory Structure <br /> Ivlove R�model/Alteeatlan Land Alteration - <br /> � . �E}�VORK(descrl be in detai�: —�;�j <br /> � ' <br /> . <br /> ST��: SQ.F'��T OF�ACFi��i: <br /> PdQ. OF �E�OOIaIS: G�lAGE STA►LI.S: ATT. 1)ET. <br /> I� <br /> ESTIM�'1'ED COI�STRUCTION VAI.UA'T][ON(excludfng lan�: ���j� o� l 5 — <br /> I h�reby apgly for a building p�tmit and I acknowledge t�t the informatian aboee is comp[ete an�d <br /> accurate; that she work will be iai�nformance with the ordinances and �odes of th�Ciry �nd with <br /> , ' the St�te�uildin� Code; thac I uaderstand tta�s i� not�permet and work is not ta start wlthout a <br /> . psranit; and that tt� work will be in cordance with the �pprodcd pl�n. <br /> �P�.,Y��►�'I'''� 3IG1�1A'I`iJ� A1'� �, ( � <br /> I�OT'�! ��fo�nrs ev�nts neg�lre ie�sanate perm�t approv�l by P�l�c� Depa�ent a�:d' <br /> G7ity Corar�cll Q�daya prlor to th�eveht. 1�Ivtt�ermitted sve�s wul�ot b�al'Yowed. <br /> Roroivn,� T�,,,,, C,,.. �A 1 , A�D1�( D�:_ i m:__ r_ _ n� � .nmr <br />