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HERMIT APPLICATION <br />Permit #: <br />7550 Sunwood Drive NW <br />Ramsey, Minnesota 55303 <br />City Hall: 763-427-1410 <br />Building and Inspections: 763-433-9850 <br />Fax: 763-433-9848 <br />www.cityoframsey.com/permits <br />permits@cityoframsey.com <br />Building <br />Plumbing <br />• Heating/Mechanical <br />• Zoning <br />Water/Sewer <br />• Private Septic <br />Grading <br />• Sign <br />Site Information <br />Site Address <br />PID # <br />Year Built <br />Legal Description <br />Contractor Information <br />Contractor <br />Address <br />City, State ZIP <br />Phone <br />Email <br />State License # <br />Lead Cert. # & Date <br />Owner Information <br />Owner <br />Address <br />City, State ZIP <br />Phone <br />Email <br />Contact <br />Contact Phone <br />Description of Work <br />Valuation (including labor): <br />Does thisplan qualifyfor SS1300.0160 ❑ Yes No If es the master plan number is <br />yes, <br />The undersigned acknowledges that he/she has read this application and the above information is correct and accurate. Applicant also understands by signing this application that he/she could be held <br />responsible as representative of this project for any violation of compliance with all applicable laws and ordinances of the City of Ramsey. <br />Signature of Applicant or Authorized Agent Date <br />Notice: This is an application only. Permit will be issued after City approval and payment of fees <br />It is our mission to work together to responsibly grow our community, and to provide quality, cost-effective and efficient government services. <br />