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� , <br /> Minnesota Department of Labor and Industry Licensing and Certification Services <br /> Construction Codes and Licensing Division Phone: 651.284.5034 <br /> 443 Lafayette Road N Emaii: DLI.License@state.mn.us <br /> Saint Paul,MN 55i55 Website: www.dii.mn.gov/ccld.asp <br /> NOTICES <br /> NOT TRANSFERABLE <br /> CHANGE YOUR BUSINESS STRUCTURE PARK PLUMBING INC <br /> SUBMIT A NEW APPLICATION FOR NEW ENTITY 151 LINDEN AVE E <br /> RENEW OR REPLACE INSURANCE POLICY WINSTED, MN 55395 <br /> SUBMIT NEW CERTIFICATE OF INSURANCE <br /> NOTIFIC THE DEPARTMENT OF A CHANGE IN YOUR BUSINESS. <br /> _ Fa�lure to do so,subjects you to administrative penaities ofi up to$10,000. <br /> 15-Day Notice Requirement—Forms availebie online at www.dli.mn.aov/CCLD/LicUndate.asn <br /> • Change in business'physical address,mailing address,phone number,or email address <br /> • Change in control,owners,olficers,directors,members,partners - <br /> • Change in business'legai narne andlor assumed name <br /> • Loss of or change in MASTER PLUMBER <br /> • Change in generai liability insurance or workers'compensation insurance coverage <br /> immediate Noti�e Requirement—Notification to DLI in writing <br /> • 3udgment Debtor: A licensed contractor has 15 days to provide written notice of the finding that it is found to be a judgment <br /> debtor based upon conduct requiring licensure. <br /> • Bankruptcv Petition Filed. A licensed contractor has-15 days to provide written notice that it filed a petition for bankruptcy: <br /> • Conviction Notice. A iicensed contractor has 1'0 days fo provide written notice that it has been found guilty of a felony,gross <br /> misdemeanor, misdemea�or:or any comparable: offense related to the license, including convictions of fraud, <br /> misrepresentation,misuse of funds,theft,criminal sexual conduct, assault,burglary,conversion oi funds, or theft of proeeeds <br /> in this or any other state or any other United States jurisdiction. <br /> `YOUR CERTIFICATE IS BELOW THE PERFORATION. -,SHOW CERT[F{CATE WHEN OBTAINING PERMITS. <br /> > <br /> � ` ""'""�"DEP"�"'�"`� pLUMg1NG CONTRACTOR <br /> i LABaR & 1MDUSTFtY _ _ <br /> Construction Codes and Licensirtg Divtaion Licansing and Certification Services 443 Lafayette Road N St Paul,MN 55155 <br /> Websde: www.dli.mn:aov/ccld.asu Emall: dH.ticen_�state.mn.us Phone: 651284.5034 <br /> This is to certify that the certificate holder is licensed as a PLUMBING CONTRACTOR in the state of Minnesota annd is in compliance with <br /> Minnesota Statutes 32bB.46,and may perform or of�'er to perform plumbing work in all azeas of the state dwing the licer►se period; <br /> provided the responsible individual is at all times a MASTER PLUMBER and the certificate ho9der maintains compliance with the required <br /> bond,general fiability insurance,and workers'compensation laws. <br /> License : PLUMBING CONTRACTOR <br /> Lic Number : PC643184 PARK PLUNfBING INC <br /> Effective Date : 01/oi/2o12 15'# LINDEN AVE E <br /> Expiratlon Date : �2/31/2ot3 W�NSTED, MN 55395 <br /> VEF�tFY tJP-TQ-QaTE STATUS,BOND,AND INSURANCE INFO ATwww.dli.mn.�ov/ccld/LicVerifv asp (ENTER NUMBEFi). <br />