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10/19/2017 THU 15: 29 FAx 763 473 8565 6abre Heating 6 Air Cond �047/007 <br /> ��1� �Id:', i,7".� � �.::�.a��5' v r,. p L1� '?T�r�,q��� {,�'tr-� �. vPArk � �, <br /> ,� ��?S �a �q� yp�� � +I� l ; 1�•L�, <br /> �1'6a..�1;"bQ'•?a��...it.��`rwn�i�'ri'ii�, �',' t S"7'.,.� rlp'�i•;� K �s �5;11di1�F'.'�;'EI�� <br /> ------- - � ���a�.3..� •�S' ���.l���.w_.��'�%�b4nl:rw�;.22J::?' <br /> 1. CON'X'RA,C'1 YKICC *is I.25%,uf contr�cl�ricc with a(Minimum ree of�50.00) ' <br /> �� 5,00 x.��zss_ ►��.$1 . — <br /> • (conlnd priea) pniuimum SSO.OU) <br /> 2. STATI�SXJRCr�ARGE <br /> _._._l��lr_5_..0_0- ---���.00�s �._....___....._��.�3 <br /> (contrac�pricel <br /> 3. 1'OSTAGE&HANI�J,ING(O��ly uu M�il-in Applic�tiotts) � 2.00 <br /> 4. TOTAL PF.RINXT k��L�(Add Lines I-3 Above) T �(��•�� �_ <br /> • '" CONTRACT PRICE Or IOH COST mCtlns lhc acluNl ur esCimnlCd dulldr �mount chargcd tor the <br /> permitted wock itteluding materials,labor,prnfit,and othcr fixeci costs. It is the�mount to he charge�l <br /> to tiie custo�ncr far thc w�rk done. Jf a��y rzi�tz►�ial,equipment,fabor or iustallations are ft�rnished by the <br /> owncr, tcnant or any othe�• party, the reasonable mark�t valua af suc:h iCems must bC added to tlie <br /> estimated cost or convAct price for percni��'ee purposes. in the event that the�e is a dispute ou the aulount <br /> of the job cost, the City a„ay request tlte submission of a signed copy of tlie actu�l contract. <br /> ' The uz2dersignBd hereby appliea to the City for issuarlce of a Mechanical Permit, agrees to do all <br /> � work ii� sttict ACCo�CdanCe with the ocdinancea of the City and the regul�►tions o� tlie State of <br /> Minnesota,aiid certifies tht�t r�ll statements made ou this application are complete,true and correet. <br /> � Applicant's Signature: ��� �Q,AAAAI�A�. DAte: 1�- 1 q• x-0!2-- <br /> i <br /> � 3 <br />