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NOV/��;'�0.-'.. ':'�� G� 56 AM Heating & cooling �:�... iti�� , P, 004 <br /> , , , . . _ . , . : . �v,� <br /> • � <br /> , ., , _ <br /> .. <br /> . <br /> , � . _. , , <br /> � . . . , . . . . .. �� . . . .. � - l L.�. <br /> , . . , � 7,� }+� i—T�: Y- ��—._�— ( . . . .. r ' ,.'. <br /> . IC� A.�4�j,,,l„_�.���r �+�j{,�str'3�+af�`����'y},����Y�� { �" \"'il����t� '4 r L}C^'��'F��I� h11•r 1 ?;11 � I<�'��., ! ,�yj'�� �'�'� �.. , <br /> r ,�+ r {���1 <br /> v'' n -��`� -�r •�F�SJ,�•1�l�q�7 i e?.. ', `i�'�w`�4�� '�A�1{ � � � it�n .�{��t1 �txy� ���d ��,�v; �. � f �,iyr9� "1! � �' � � <br /> "'G NN L'�4 y�.�y p � ^�-�.- [� ��1 f s q v w �7 ��a , <br /> , . ��r z.-.s> iJSL,4s1 d3r,�ai•!e�d,. .� . ,. �i � i ar (�r d f V a �,2ti r .y� Y��t(.:y� e �t,tS 1�� F .� � I � � ,r <br /> ,- _ <br /> � �y <br /> ..___ � ,� . _d� �,7��.L� '�T�r �n �i' � i �1 � �� <br /> ,)Ck�rz,1 �� a .���� s�k,,�, �����'�_�,� ��, � ..,,-.� .... .E��r a., ,r ,„ .�.�z' 7;�� <br /> = - — — -- — _ _ � � „ ��, <br /> _ � .� Yes,�t�is�GGt�an�ppl�e� �,: f , � ,:, ' ' " <br /> ` u , . . . �, , �,. <br /> , <br /> _ ...: <br /> .. , ..., , . .,., <br /> r > <br /> ; ° � <br /> i <br /> �'he Teplacepier�t o£a'�oside�ihal#�ixtiire or��ipliancc Yhat rnGeYs all�hree of t}iC follbWulg t��tLire�.e�7ltS '� � <br /> ,�� � � ,. <br /> . i •�,:i..: ,, \,;r ',:, k� ��:�:�y ,��.,,i �,�� a c.�, .'dl: <br /> ,� i I c�l� L'in. � 1'!,:i t. <br /> ,.'. ..' ".,: .. ;; .. <br /> � � Daes not requrre mo�ficahpn to,el�ctncaX or paa.serYxc�,;; ; .r �_ ` � ' , ' <br /> , 2. ,Has��,Qtal,cost Qf$500,00 oz les�,exc(�the,pqst c��the��u,,Te o�appligucc �nd t � � : > <br /> r � <br /> �, Is unprovGd,installc�az r�pldaed by tht homeo�Wncr of licer�sed�odt�ac�q� � S � �, ' ; <br /> , ? � , „ _ -..n 4 �6.i d� `'�s � �� '' � � . <br /> � i " � � .i�� t .�; a�� r Fy.�;. <br /> ..1 .,� ;�� ' � � � <br /> , . : - ' �kip next se�t}on,7f t1v�a��I�es Cost o�Fe�txut 5 DO s; ,, � ; <br /> f ;, � � <br /> � ' �ti� ��. �� ��:�5#at�,Surr�Fiarge� , � � �.�d �� �� � � ' '�I <br /> �� � ;�M��l.��i��e�(�fAppl��able) � �1�0 ���r >�� �'� ,+, <br /> ; ���'otal�����rznit'�'ee ' � � � , , �; z ;� <br /> � .�_' � , � r <br /> � ��� _ �'� +�r k� k � ' i r� r <br /> i i . ., � .�; .:� � � � � . <br /> ,y^ ...� k�3 ,�'�t"�'-'��a��� '�' � .'�1,, �`a ,.���?-f f-�s�"� ��l��N"''� ��� `T��f�� �`'� n�\ I <br /> � J. hM � �. {1 { A �'i � �t 1Y a( <br /> "� �!•, ( - ��.; .�� 1 ',1 .! 1 \ � <br /> • � /\ �� '� � p <br /> � Tf above does noi�Apply,fo119vr gtiidelmes below,, '� � � � �, '�'�" ��' " r�,� <br /> ; <br /> �� .. r ..� � � I , � �� ."#� i b �� y ��.6 A ; <br /> , . � ' :i 1�; ;� �L f j ' y� �r' �i 1 � , ; ' <br /> I ' " �. -�ON�'12�,CT P12YC�. '"�s z 2s5o af Go�tzact' ri�e���.a(lvltt��in�fm�'e''e Q�'$35 b�) <br /> � � , Jn y. <br /> �. <br /> ;, r <br /> � t ,.:, � V _: ., sa � , , t< � M � <br /> ,.. ri'r�-.� ,.•f �� � '�l, '�. 6r <br /> . � � � � Q1��� � ��"�i'K F � t� <br /> (o4�hacEprce� ` ���rmn�mum�,�3S 40)���' ' � -, � K ��� <br /> , ' <br /> : <br /> ;n , <br /> ... . . t���. ' .. �_ �r � :a . -.r:' , 1�. �. <br /> . . . � . .Z Y,�. t' . <br /> . . ., .. ., . . : ,. .. . � <br /> �2 ,�STATE�URCHAI�GE *�'A�d�e St�C��ld�'�'4de Di�r�Sur�A�t'ge(Nlin�mum�Fee�t�SQ� r,;t? �, ' �:.'� ' <br /> � = , % s �;� ��, <br /> . . ��,� . � � <br /> i I a' � , , -� ,i`y' �` { r, <br /> X OOdS $ .,' �' + t �� �P� <br /> � �CoptrecCpr�c�) r (nUmmurn$ 50) �., ,.. , ��,� i � <br /> ' , .. ". ... ;,�.� � ��" i . ` � ; � <:, ,� .r <br /> , , <br /> ;y r :' • k`, f � i �" �� ' <br /> ,., <br /> � FOSTAG�&HANDL�I��r(prily ox�Mail I�ApphcanOns) $ � 1:50 l , , � , ;:�� ° <br /> �� '� '. ,� �� �, � �> ' , <br /> , � <br /> t ` ' t ' .f ' r '. , 't <br /> � : <br /> i <br /> d.','�QTA,�+kE�'�k'E�(Add�.ines 1 3;AbQvej ` <br /> : • � , , .. , . . • . . .. � , ��; �^�, <br /> n <br /> , . .. . ,. . <br /> . <br /> „ ...... .. , �, <br /> � � � ' �� <br /> k �"* CQN`�A.C'T PRI�E or'�QB'C�ST,i�leane t,he eotual o�estuiiated iiollar ar.�iount,cliarged fQ;i �e ; ' '�'' , ;�:; <br /> . . � ;permit4ed wvrk inc�uding materials Iabor,prQfit, a�ad atlaex fix:ed cQSts.;I��,s�k�e.�arnqunt�Eo be ohar�e� ;' <br /> , Y ' _q , , ^, ''. - c <br /> to rlie cuaCornex fox�hs work don� If a�i rt�torial e uipme�it,'labar oz;i�st�llatiiez�s arc,;fiu7vshed 1�y <br /> . the ovvaer,tepa�,t Qr �iay othe�;�i�rty7 th�xeasoliabl�maiket v�tlue of auch rtert�s;i�iust be a�lded tp t�e <br /> ` � - eshmaCed cost br contract rice Por"ernut fec osas. In, c pveat�th�t there �s a dis uYc:'oii'the '' <br /> P . � ,. , P�P ,, �. �, p <br /> . ., . umount af the�ob cost,the Cit}!mfly iequest the �ubrrii�eion af'�Signcd�opy pf the actunl �a.ri�'acC <br /> ,.. . , . <br /> •` .'*'�`i'hc STATE,SURCFiARGE is 00(}5 of t�e$i,uldu�g I:aepa�tznent at(952)249�600 foz t�ae prie� .` . <br /> ,, _ . , <br /> : , , , . ,. <br /> ,. <br /> ,. - ; ,. , . . <br /> .,.� . ,. ,�., L� �� <br /> . . ,. . ' . . . _ . . � . .�.7 . <br /> . :o �';w '.y. ��� � �n - 'F�--�. f�. ``�+ �j� �'..4' � 'J� � . <br /> . . . d L�4��f <br /> The undersigned herel�y applies to the City for issuarice o�a,iVleqhaxlical�e�it, $�rees to'do all � <br /> work in strict accordance with the oirdinan,ces of the City and the=re�ulations o�,t�.e $tate o� � � <br /> _ ,, <br /> , �l�nes9ta, ar�d certi�xes. that �11 Statam�nx de � �s ,a �cati�n aFe oompl.�t�, trt�� anti . , •. <br /> corroct. _ .. , ,, <br /> . � <br /> Applicant's Signature: Date: �� �/` �! <br /> 3 <br />