|
:k -` T�����• .r iii GYYi/YW .�
<br /> #� �.'�.``� 'K ta� �i 's :�Sn."'�'�a1 ��.i��a�. `����� � f
<br /> ` `�� . �,. '� .y. .�'1(� : .,� S f -�
<br /> � _ �' ...r� .R . � � ..: t . , "�ti . Y .a; Y '�it 4 h
<br /> - . - . , M .. �.�����
<br /> .. , .: . . _ .... � �"y�+.,��, '�V� :�a 3 y��q �� � '4
<br /> �. . . _ . .� '�._ ..��� ', .. �'
<br /> . :� r �{^'�4� t J. x�M• ��A`'ISi' y[ � a
<br /> �
<br /> . ' _ "s.r -�t b � '4 L �• � 3Fn '
<br /> � ' _- � ,abt �.�+�� � �t�� �Y��Z�:�,�,�'��''.�'x3�'�..ch�.
<br /> ' �� ,• . °�. ' 1 � 4.F���, �ti 1 `� r ; � R2'.
<br /> �4.'
<br /> . ;, P�T FEE�et �o�� � wKK.�.} �, �Y� �•�,���;;�,�-,�}�`�"���� '� -
<br /> ✓' . ia �x�{ ��,� � �' .. .. � ��Y �.
<br /> . � ' � '��_._ .. . . . .:_.: '"`rk`'��:.'� ,�,+�,>`y'S�.�f�,��t'�,�'"' . «e�l.; ?j a�, �.' `t'� _ ` � �..r.�-.4
<br /> . ❑Ya Tbts Se�o�a r'►PP1us � � �K-
<br /> ,� �_z , ,�
<br /> The iePLcdaeat of a ;,_ . ; � ,_� � . { ' �-�� n�:
<br /> P�1X�1G oz ineli��� � ���'� '�'y�
<br /> �Tmeett ilI tlue�pf�Q 8� �. x�-�
<br /> j) _ �.'��, �_
<br /> , . :,� ,, �:.,• ., ._ ., : - _ �. �,,�;�,��,:.
<br /> Z, �.���QUI�fi0dl�CatlOfl tb�iCil Oz g�S S�li�.'. :'-` + • " t;�;,.,. . "
<br /> � �OtSS00�0 c�j�;��c�t af�C�ctpce ar tpPliaaca .
<br /> 3� ��ved.fostalkd o�repiaad b�;t4c�om�o�a _ ,.._ . _ . . ="°� '"
<br /> � • ._,�
<br /> �P next sectfaa; _ : - . b�cot�IIaotor ` . .
<br /> Cost ofPern�it S_ is.e • :
<br /> . Ma�-IaP�a�s�� . • .
<br /> If abov�e does not apPIY,tbllow 8mdelines below; +
<br /> 1. Contract Pri�*is.0125°Ye ofj��a _ .
<br /> m ee �
<br /> . - . . � x.Oi�s s � � � -_ _ _ '
<br /> �°"0•) d�s3s.00�
<br /> 2 State Sn.,���..:d. *+��the State Bmldia�Cp���,;�os►a . .
<br /> ee ef l� �,
<br /> - . �� X.0005 . �j
<br /> . (�a�aa p�e) s �"
<br /> 3.P���sad Hsndlin� p �s.so) . : .
<br /> ( .��a�l-I�t�pP//�atloNrs) _ -
<br /> . �
<br /> a.TOTAL PERi►srr gE��wda liaes i 3��
<br /> s �: a,�'�;�
<br /> •caav�rx,�cr pRres a��osr �
<br /> osr�.,ee.�� ,
<br /> �Lbo.,pn,Sy iu�d odKr ssat c+oscz rc�aK,n��ed aoltu amo,mR��,he P�ed,Mu,fc�.�
<br /> °4�P�ltbar.ot instap�ioe is imais�b d� ����oroQ�r tbe worlc daas,It � °'
<br /> fiu�t be a d d e d o o�s e s d t t s a d c o s t o r t o n t r a e t Drioe� •�°r�r h r o t h Q p�y t h e t e a�o o s b k�y�as weh�
<br /> tlu�ob caat.tt�e CitY tdqr request tIu subroiuioa o ta ���'�n die evep�t�t ykce 6 a d t�p u o e on me aqquet ot -.�-
<br /> . . ��PY��aqwl oo�
<br /> "'Fl�r S?ATE SUR�t of�����SI,00p.000 ot Ss0•rrbi�he�,er u�Foc Y :
<br /> � =1•000.000 aU tbe �� �over
<br /> Ths�de�sipu��y yRlies to d�e Gry�r�ots
<br /> � d�e o�noes ortl,e csey�na u�e��o�ora�e bi ��'�°�eo ao m.���a,�,��
<br /> �pN�on a►e eonipleoe�trne a� �S�s Bnildin=Cad�.aad�ao8�s�nt sIl��+�de ou dds - .
<br /> .
<br /> �►PP��'s Signsn�e: • ` � .
<br /> � Due: ' '
<br /> �►pp�ved gy: .
<br /> Datr.
<br /> 3 .
<br />
|