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, <br /> ---� ��,i +�",_'c�--- _ <br /> f , ' :t 'i � 1��li'�fi�'T—�-w.� --- <br /> � �,�i ,�1 �y ��������� <br /> - �-` ,!.�w:: E z!,._�I'�I�•��i����'�' '�'r�� -�" -- <br /> ._.�, i�, � ������ ����;yl�ln}�� :� ��'��� ��� � •�� <br /> � �`�!t�s��� ���',�,��r� ,�, �, ,, ,�, . , r , <br /> ! . �i i� ( i��' <br /> - � , ; �I�I �� � , ��i{i E�� <br /> �_� --��----_._,ti.,.�, ��I�1i �� � , � IIr('�i <br /> Yes,this section applies ..._ � _..:=_�„!_..� <br /> "I'fu�re��lar_entent o{a Residentia___�{ix�ure o_i,� �iance tl�et ineets aU three r�f fhe folloWin,�re U•. <br /> 1. I��eS ttot require n�adificatinn to eleclricaf ol'�,FiS Se1�yi�f:. - � ����nei�ts: <br /> �• i-f as a tota!_enst of,$500.0l1 or le,ys;exclucfi��g the cost nf the fixture ar applienee: <br /> 3. 1s impr�ve�I, installe.cl tir replacerJ hy Che homcnt�Viaer��r fir.en4erl contrRct�r. <br /> and <br /> Skij�i7ext section, if tltis app��es, <br /> C'ast crf Pe���nrr <br /> Stut:e Surr.ha�,qe � ___ 15_Op <br /> Mail-f�l �ee(I f nPplicAl�le) �' --__.__�SQ <br /> �TofAl Permit 1�ee �---___1_5(1 <br /> �� - -------�- � — <br /> ,. _::�'�ti!` ���`---��",4j�i�,, � � ,, � <br /> �-��?:1� �..���� �►�r.�G��,. � .I ._ �;' ;�.� <br /> I C<�i,� --_�__ <br /> �ve d�es not applY; folloW guidelines i�elt�W; � ':_..._...__._.::.W�u�:<W::;;,.,,:�;:� <br /> 1. CnNTRA,CT PRIC� �� i5 I. ..5"/n O�C�111f�CI nl'iCE WItl1 A(N'���j�p� �e�,0���.5.0�) <br /> �I �1 VV�/ �,U <br /> -- ` _.___ x .(1 r 2S. /� `�' <br /> �(coittrnef prfcr,j R__.�._ _LL_ � <br /> �. STATE SURC�IqRC:F. �a: (m iimtnn�nrij _ <br /> - . ndcE the SlAte R)tltr('tstle Div. Snrcherqe(ry�;��i��,��m�;��,�f�_5�} <br /> �.��_�✓ � <br /> � V ' J <br /> � x .f)Of1S �; ,� �/ <br /> -- �-. ;- -._ <br /> /(cnntr�cl pnc�:� ., <br /> -----_, <br /> ------- <br /> � (ininimu�n$ ,5n) - _ <br /> . I'OS'T'.�G1;,8r.HAN�)f..INf;(C)�tt>>�n M�il-fn Applic�tions� <br /> ,R___ -- !_•i0 <br /> 4. 'i'n'T'A1..�F,RM�T' i+rl�,(Acir1 Lines'1-� Af�nve} } (�U <br /> r, °;� (:'ONT'RACT' P.R.1CL-' o�� JOB C(� ,�___�_�-��---/__ _, <br /> ��erntitted Work includinfi anateriais, �bor'�Atoftt',�t�t I other,firetf'lce�stsl (I1 Ii.s C)te��rtoRl]tlto I e{!c]�r fi�e <br /> to tl�e c�,stnmer for tlie W,»'E< cl�ne ;T{'�i�y i��aterial, ec�r�i�m��nt, l�hc�r��r i119tfl11Atlotl9 Are fl►PnlShed h�T <br /> Rt�e[) <br /> the nwner, feltflllt o1�fl11y Otl1el�pAf�fy, the reasonable markei:v�li�e of such items muqt ise adried to the <br /> eatiins�terl rost or contract price f�r permit fee �ur��oses. Iit the event thAt there is a <Gspute ota the <br /> �mc,imt nf'tlte joh enst, tt�e C'ity ,a�ay recZ��eqt t17e submissic�n of a si��ted eopy of Nie actuaf cont:i•;�ct, <br /> " '�' 't Ite S`I�Ti',S[1RC I IARCE is.n�Q.S oi'the 13uildin�;De���rtmenl at(9S2,)249_�}6�0 for the price, <br /> y <br /> ._ _:'_ ._�:_, ��.�?�b��lt`1�� �����,��Cit�1�;� _�.� (�'-I,�:.�.._.� <br /> }__.., ._ �---.��-.__—�-7-� �j(y. _._..LLi-+v.c'.._. f . �� I <br /> y97A1 /��1�1p� JI <br /> �./M" !T�'11LL. I <br /> rl.......,.,_ 1��:�il <br /> "1'he ��t�dersi�»ed hereby a}7plies t�� the C'ity fo,•ts,�t�ane.e e�l'� N1ec}�anic�l permit, a�rees tn clo a11 <br /> r��oa•I< i�� sieict acco►•d�nce witl� the ��rdii�a�zces c,F the (`,� � <br /> Minnes��ta, �tnd c�rtifies f1�ai 1l) statemei�fs rnac(e c�r� thi� applic�ti�in�aicticolt�plete��tt ie�and <br /> cor�-ect. <br /> � <br /> 1n ' , <br /> ��s��lic�nt's �;i�nat���•e: <br /> �V1 •_ � � <br /> , �_ (�I�.Q�1 __ ���►��: 10 _3 0 �-� <br /> � <br /> , _.---- <br /> -- f---..___ . <br /> , � , <br /> I�'�►�'1��11�+Irll� ���i i �I;� <br /> . . 3 :.� ��'� ,��.:. <br /> , ;! y'{; <br /> � <br />