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<br /> Wood butning �bo�ry fireplace with flue '
<br /> �'Vvod Stove �
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<br /> . requesc the submissiv�of a sig�aopy of the actasl eamtr•ux. ' . , • . • . .
<br /> *'� The STA'I'E SURCHARGfi Ls.0005 of tHe eomract prlce uader$1,000�000 or $.50=wYiicflever u greatar.
<br /> . . ,.,•.�,... , .:,.,�,�rFor•valit�tlous.Aver•$1,000,000 pll the,D�epa�[„��Impectional.Se�ic��fo�,�he_,Pri�ce::�:a.a��,rr-�`�-�•: ..,>.. ,
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<br /> � � :����,�F�1'he�under's�gned�he�bY$PPlies tio the:C�ty,for;issuance��,a.Mechaaicai�mit,,.ag�s.r.n•do all , :
<br /> � work in strict accordance with the ordSma�ces of tl�e�Ciry and the regi�ations of the�M'mmesota �
<br /> State Building Code, and cexti�ies that all statements made ori this application are complebe, tcue
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<br /> Applicant's S�gnatute• � Date: Z g' �
<br /> Approved By: Date:
<br /> 500�j 1�'Iddf15 S?I�Q'lIf1S 52��if19 Lg80C$9C9L %V3 Et��OT TO/LZ/Zi
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