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<br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />-. <br /> <br /> <br />CITY OF ARDEN HILLS <br />4364 WEST ROUND LAKE ROAD <br />ARDEN HILLS, MN 55112-5794 <br /> <br />SUMP PUMP INSPECTION <br /> <br />CERTIFICATION PROGRAM <br /> <br />The City of Arden Hills has made a provision to allow a City Registered - State Licensed <br />Plumber to inspect a residenee or business for conformanee with the reeently updated sump <br />pump inspeetion ordinance, <br /> <br />The following information shall be submitted with all eertificates of conformance: <br /> <br />(PLEASE PRINT) <br /> <br />Contractor: <br /> <br />Name <br /> <br />Minnesota Statc License No. <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />Phone <br /> <br />Residence: <br /> <br />Name of Homeowner <br /> <br />Inspection Address <br /> <br />I hereby certifY that this inspection was made by me an~ that I am a duly Licensed Plumber <br />under the Laws of the State of Minnesota, <br /> <br />Signature <br /> <br />Date <br /> <br />Attach this form to the City-supplied Sump Pump Inspeetion Form and submit to: <br />City of Arden Hills <br />Building Inspection Department <br />4364 West Round Lake Road <br />Arden Hills, MN 55112 <br />