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Rich's Plumb in , & eatit <br /> Rick& Nib Anderson <br /> 1200 S. Rivcr Sttcet • Spooner,WI 54901 Master I'lumber • No. 6290 <br /> Phone: (715) 635-8752 • Fax: (715) 635-6927 <br /> Indy Shee <br /> Property Owner(s): <br /> PIS,,, <br /> Project Naive: <br /> y'Yl O z c 1 Ld <br /> Project Location: <br /> Street address <br /> 1/4 1/4, Section, Town, Range (for POWTS submittals) <br /> Municipality <br /> County <br /> P L, 4- f) ti � <br /> �� pc�� Cc.wv-ems <br /> -7 <br /> J <br /> 7y(�,Q �..b �.a.. o. .Q P.O.W.T.S. <br /> -7 P.�.-t-a , n ►,� , Conditionally <br /> pp RDVED <br /> DEPA NT OF COMMERCENGs <br /> DIVISIO F SAFETY AND BU <br /> , — �rft SE GORR ONDENCE <br /> -ww TimJ /f p� <br /> Signed <br /> Name: <br /> 1(�\CR Y t <br /> ('Torr could put a seal in this mea.) <br /> Credential number: <br /> \� D �Il�__ __— Date: <br /> 69 '741 <br />