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C1TY OF ORONO � 6124730510 05/05I97 1G:18 � :03/03 N0:574
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<br /> Y�:S��� �'..�%��M�'
<br /> ..Y� Wc�od �tc�vc; with fluc
<br /> ...__._ Wood cambin�tion or add-c�n
<br /> .-^_�._, T'�c;tory fireplace witl� flue
<br /> __ Fact�rv Fireplace (s) _..,.��. �re�sta�dir�� Masonry
<br /> W<x�l Stc,ve (s) � Franklin, odler^
<br /> �r�uui �i�m� ...._...._ _,_.._....�. Mc�cl�l Nu,_.��_,..x.�, _ --
<br /> Mfgr's Min.,.Cleartinc:es, side r�ar ^ min. flue diaT__.�.,..�._�.�..._...�..,...
<br /> .._......._' ____.+ �._.�__..� _.�.�.,..,....
<br /> y��i:L�.��N
<br /> No. Kitchen F..xhaust _ ductec� recirculatin�; _ c;fm
<br /> N'a. �� I3ath F:,xhaust (rnu�t t��duc;tCc! outside} cf'r�a^�
<br /> Nta. T_____ Cath�r Fans: I,c�cationS __�,� _T�...,�"."..�..__ � cfm
<br /> ' 1 : ,., 13..�� (Nl�7S1' Al:: AF'i'�t(,)VEp BY ktRE MARSH�[,}
<br /> �µ . iz��tt�llatic:n �_ Remc�val
<br /> ...,w_. _w Fuci ail: ___. �allon� uiiderg�rou�d inside outsidc
<br /> ^_._. LY C3ar; .._.,__ BHllvns —
<br /> _ f)ther Gas �pening
<br /> �.����� � ' � t �1� �N
<br /> l. 1.2�5�� �f .�..��;��Pri�* ar � F '15.00�
<br /> � �_,..,�_i�-so . oa __ x .��zs� � �3 s ..�._
<br /> (contra,ct pric�)
<br /> 2. �����t�,�4Z��. ** AdJ thc Stat� 9uildir.tg C'�d� Divitiic>r�
<br /> Sirrct�;�r�e tc'r e,�ch perynic, ,� I'-��a •.04...�..__ x .0(lQ5 $ .13
<br /> cyr' $.'S(7, wlii�:ilever is g��eciter f c��nlr�t jrrice} _ ..._�—'. .—._
<br /> 3. F�ustx��ilci ]��a i � (�rtly� mail-in Applicatic�ns? $ .,,._ ._.�,SU
<br /> �. 'I,C)TAI. �F,KM1'i' ��LI:: (Add lin�s 1••3 ah��ve) � _..__...
<br /> ... ..���a3
<br /> �' f:'�3N'�'RAC'1'F�tiICF ur JOl3�'OS"I"meuns,hc ac:twul ur �S�i�nated d��liflr arqu«rt ch�r�c�1 1'or �l�c j�crmiticd
<br /> wprk i:�ciudin� materialR, Inbor, pra!'it, ahd other fixed costs. i� i� thc amoi�nt tu I�� charged tu the
<br /> c:u��umor ft�r the w�rl:c���ne. It ai,y malerizl, equipnaeru, lttbc�r, or inscatlneion ur� Purni�hed by )tie uwner,
<br /> teaant or nny olttier r�arty I:hC retisorablz markc:t v�luc af such itenix inu5t ba aiicltd to the e:stimatcd c�st
<br /> tfr cnntrdc:t�r'ra; ti�r pes>>sit P��e put��u,reh, ln the���e�1t chal the�r�: ia ;� dispuc� on chG �inc��snt of ti�� job c�st,
<br /> tllc C'iry trt:�y tcqu�st Che suhirassion of a n�ned cogy of tba lctuul 4'QiklTdGl.
<br /> ** °l•he S'1"A`1'I.: Sl1k�'fiA�GE is .f?WS uf tltc contract pricc under $f,OtN),(}C1p ar $.5(1 - tivhich.ever is
<br /> greater. t�c7r vulu�+ti��n� c�vvr $l.0(�Q,{�i)0 c��l; elte Den,�rirncnt of I9bs��{;tiot�:tl Scrvic�s fo; tl;� price.
<br /> 7'hc u�tciersi�tted h�rehy �pplies to th� riry far issuance of fi IV�NCIlilillCi�I �GI"tlllf, a�,rG�s to du
<br /> ull w�vrk iii strict a�:c:c,���iac�;;� w�ith tl7c ordir��tnc;�s c�f the C`i�y ae3d cttic re�ul��tioras af ctu: dvSir�neti��ta
<br /> Stat� f�uildit�� G�x3�, a�yc! �crti("ies that ail st�t.emants ��tade on Ihis �.ip�lication are �c►mylel�, true
<br /> a�ad ca��rewe,
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<br /> A��ali�a.nt's ;�i��tu � ��a���.�..� _.. � ....��_��1�.� D�tr: ����9�
<br /> _�.�.la.a�
<br /> A�rovcct T3y•
<br /> ------,----___.—_--_..._.....,_._��.._..........._..r...._.._..W.._ ._,_ Date: _�.._._.�..........
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