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1UN/16/2016/THU 04; 14 PM Elder Jones Building FAX No. 952 854 4909 P. 003/003
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<br /> Mtnnasote bepartrrtent�jf�..abor qnd Industry
<br /> Cpnatruckipn Codes�rtd'Llcanaring Ulvlalan ���enalnp nnd Cartlllcellort S�►rvlcer
<br /> 443 L�fayCtte Road N; � hhone: G51.284.5034
<br /> Seittt Psul,Ml�t 55755: i Tmnll: DLf.Licen�epstpte_n,n.u��
<br /> Wobalto_ ww►�r_dll.mn.govlccln.����
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<br /> CHANG�YOUFi�USINESS STRUCTURE DBA P��,►�1 NOF?TI•ILfINU
<br /> SU�M1T A NLW APPL,ICA�TIpN FOI� ldEW�NTITY 15300 25Tf-I AVC$TC •I p(�
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<br /> Np'i'�FY 7NE��pART14A�lENT C3�A CHANG�IN YpUFt �USI�Dr�S.
<br /> Fatl�u�re to dn sb,subJe�is.you�to adimfnis�r�tfve�p�naltfea of�lp;to$10,Op0.
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<br /> + Ghange in bu5iness'phys4cal�cEdr�essr'malling•addr�ss,,phan�na�mbr�r,or email sddre�as
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<br /> • Ghange in businoss'te9�1 nem�and/o'r•',�s'sumed neme
<br /> + Loss af�or chari�e�n QUl1L1FYING BUILDCR
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<br /> • Chanc�o fn penarallliabll(tyinsurance orworkers�comp�ns�,i:^n Ins��rance cover�t�o
<br /> mmadiato Notl4ts livquiro�pr�t�Nottl�catton to•ALI ln wrNln� •
<br /> Judc�menLQebldr. �1'1lcensbd•contraetbr;F�as 1�:days�o pro�ide wr�tten nolice o( !h� linclinc� il�;,t il is��u,��ip b,y���,�a,tr�„��
<br /> � deblor based upbn�onc(ucFrequirin�ffcensur�..
<br /> - FJankruptcv Pe$(fon I�ilod. •A ficensei��contr�c(pr has,15 tiay�iv provido wi�ittort notic�:Ihzt it/;l��d���pitlron for f�ankrt,plcy
<br /> . �onvfctiort No[icb. .A licens�d contr&etoY'hr�s 1Q days to provfde wriiten netice lhat Et h�s be�en fpuitcl��i,�i��y n��; 1o1ony,��r„�;
<br /> misdemeanor, �mis�/emeanor o� qny•• �compa�bta Qtfcsns� related to !he liconso, inr,h�q;��� �,o��„��;���n� �t u,���,�
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<br /> in this or any offlqr's;ata or any other Untted States jurlsdic:tion. ,
<br /> UR CERTIF7CATE f$;kT��,IQ1N 7NE P�RFOF3ATfON,
<br /> . Sl-�OW CER7IFI�AT'E ytrH[N OBTAiN1NG PERMI'{;,
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<br /> ConsirucUort Cpdps fu�d L1Cvhsing Diviston Llceneing and Car1f(Td�9tlon ServiCes
<br /> Web51t9: »ryvw.dlLmn.nbv/ccld.as� Emaflc 4t(1! � �A�t.Ff�layOUn 110ar�N�il.I�aut,MN y;;���,
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<br /> �liERiCC witFl Mirin�otn Staftit�s 32bD_805,and m�y,,build,res'tdentjtt}rcal�slnt�,conlCSCt oY ofl`ep tn Conlr;�ct wi11i tin uw�tcr lo bu�l�1
<br /> �ti�!reei estase,nr�d ornYrnc o�p{�7'or.to•Corlttech.with ar1 or4sieP[n irnprc�vp existing 1rC,qider3ljaI rCe!�Sftle;tyru�idc•c1 U�r
<br /> nsiblc andivfduo!Is at n1Jltirn�s•rr QUALIF''lZNG5�3CJILD&R and Itie:certi�celo holder ina�h4niits cnmplin�tce wilh ttir,•�,�u;ru�K�licrHt
<br /> ry insurmh�q and workcr�'caint�csation laws.
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<br /> Llconaa : {�E31D�N?C14L BLDG�CONTR/ICTOA .
<br /> : hfurrtbor': BC6R50�90 � �H �NTERF'RI,�^^�S L1�C .
<br /> citve I�eie : D47az/2Q1v � .. DBA�P�LLA NQRTHLAND
<br /> �ilon Date• ; 03/3t/2[�17 � ��3pd 2�TH•AVE S7"E iQ0
<br /> 1�LYMQUTl�f,,lVIN 55447
<br /> �i UP-70•oATE STA7'U3��QND,ANp lNSURAMCElN�O•qTwww.dl mn ov I V�rl a (�KTE�p IVUMREF�J.
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