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". .. Vi 1 �. �si vnv�av � v 1�•tf aV,7 14/ �J70R'�F/7o 1`ta!!V � .����., �().��� <br /> , . . <br /> T�i ��: s ���iv�: <br /> �nt�red ��: Permit�Y: . <br /> CI7C'Y OF Olt(31�i0 - �IJILDIF�� PE�T �PPI.ICA�'IO�T <br /> ; . <br /> � . At�� ��f��at��n�,� �e su�mittea �n �u�����ore pi� re�;ew wf� � startea. <br /> �, (�y�ase pr��at alt dnformutdon) <br /> � s�__>__�_ � _ __�_____...�___--r..---- .�.o_w---r--a- _._�_��______ <br /> T�$E �lP'�'�:HC� I3: (circle one) 0'9�N�t OR CONTRt�CTOR w <br /> � � . , <br /> J�� s�� ��►�: 3o a�a�,�, c��- �.��� � �: ��� <br /> •, li1A�1VI� OF Oi�V1VE�i: �G. -� �lJ�t, �'l �iOAT�: (�ome)QS 2-4�'" .�o <br /> �-�� (wmrk) � <br /> N�AII.II�IG A,I)DR�S.S: � CITY: �.I]Pe <br /> , � , , <br /> ----- -�—- <br /> �����Q�� PELLA WINDOWS&DOORS � • <br /> • C�NTA��I'��Z.SON: 15300-25TH AVE.N. STE. #100 � � <br /> PLYMOUTH,MN 55447 <br /> � ' M�.I�.d�iG�D�F�3: 763-745-1400 �jP; <br /> �y"�'A�'� �,j��i�j�: �f LICENSE#20165884 <br /> • ABC�I`TEC�YENGIIeTEEl�: �HOPIE: <br /> M�#II.ING A1D]DRES3: C�'i'Y: ZIP: . . <br /> NA.M�: �.��1'RA'TIUN� <br /> TY� O�' '6WOl�: Now Add'uion Ac�essory Stndct�ue <br /> Move RcmodellAlt�ratlan Land �lteration - <br /> P?��POS�I�WORK(deserdbe in detai : p <br /> C.,� � ✓�:> ; <br /> S1'O�r SQ.F'L�T�F�ACIE��'I.(D4Xt: � <br /> PdO. OF'liEl�Ot)tdlS: G�iA►GE STAI.LS: ATT. I�ET: <br /> E,S"I'Il1Z�1,'1'E� COleT3TR.�JCTIOrei VAI.UA'TXON (excludfng lan�: � �� `J J?C��� <br /> I h��reby a,pgly for a building p�tmit and I acflcnowledge t�t the informaaon above is comp�lete a�d <br /> accurat,e; that shc work will be ici�nfoilnance with the ordinarices and �odes of tl� Ciry �nd with <br /> , ' the St�tc Build[n� Code; tt�t I uaderstand ttb�s is not a perrnet and work is not ta start avithout a <br /> . per�nit; and that th� work will be in cordance wlth the �pproeed plan. <br /> �PLY�AA1'1''S SIG1�1A1'U��• ��DA1� / <br /> r -�.._-_- �. <br /> 1V�T'E! Pi�riade a��s ��►�rra8s r�qafre sap�nate per�n�t approv�l by 1'�l�cs Dep��stent wsd <br /> G7ity CourecTd b��fa�►a pr�Ior to th�eve►�t. 1�lon��nn�tte��ve�ata w�l!not b��yYawed <br /> Rorniuo,a T�,„„ C.... �A 1 � A�D1! n..: _ i m:__ r_ _ n� � .nnir <br />