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NOV/18/2016/FRI 07; 01 Aifl Heating & Cooling 2 FAX No, 763428367? P, 004
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<br /> Q Yes,dus section applies
<br /> •xhc xe�laq�znent of a�Eside.ntial fixture or appliance that me�ts.all'�}�tcc o£the�ollowi�i,g requarements;
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<br /> 1. oes not requue modi�catidn to al�etacal 9z g�s servlcg.
<br /> � , 2. �Has a total cos of$500.00 bz 1�55; `c ud�� ;t]ae cost of the fixture or&ppliance:and
<br /> ' 3; 'Is irnpraved,installed or ro,placed by the homeowxier'or lic,ensed contractor.'
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<br /> Mail''In F�e�Tf Applicablc)� $r�1.50
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<br /> �, � Zfrabove dbes ziot apply;follow guidelines be�ow ; �
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<br /> �� 1:,1• CONTRACT PI.�CE *zs 1'25%of oontrscc.price Wi�(Miri�mutn b'ee of$35.00) �, �
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<br /> ` 2 5TATE SURCT�ARG� '"'"Add tk��State Bldg Gqde Drv Surcharge(Mmimum���qf.$,S9)
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<br /> � ,(cdntract price)> � � (mmimum$ .�0)
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<br /> ■ . * CbNTRAC`I'P�ICE or JO� G�ST,rnea3�s;t�1e act�lal nr e5tuzaated`;dol��r.�maunt;chaxged�ox the: � �
<br /> ' � �ry ` pertx�tt�d,yvor�C zz}cludiug mater�alst�atjor,p�ofit��az�d o�h�Yf��ice�l�asts.;�t Ys t1i�,ar"nount to'be';;c�iarged`
<br /> ' , � -' to"the:�ustvhi�r foz the wo�'k�one 'Tf,any rria��r18�� equiprr�cr�t, ��bQr or mstallations�ar�e fiunis�ed by
<br /> ` � th��owuer, tenant or any other;p�rty, t�i�r�a��n�l�7taark��alue bf such i#ems must_be added to the r �
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<br /> ;est�xn&��d cost.bz cont�aGt pTlce �'ox p�r,���'ee, urppses, xn'F�,e��vent tl�at�tlaeTe a8 a disp�.��.on the,
<br /> � 'amoun��v�f the'�ob'�o'st, the �ity lnay'requests'�he Subri�sSzoz�;.q�,a sigiZed copy of-the &ctua� contraat;. �
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<br /> '° � • **The�'STA'x'j3 SIJI�C�ARGB 7s 000�.p£th,e�uildvn�'Department at(9�2)2�T9�,q6pQ�'ar the price, �'
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<br /> '�`I���tnderSl�ned hereby applies,:to the C�t��`Oz'-�ssuanb� of�IY�i�Chanie�l,Permit� agrees to do at�,
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<br /> �,' wo�'��xn stz�.at ac'corc�ance with the ord;nan�e� 4f�the C�ty:az�d khe'regulahons of:the State,'of � ��
<br /> ' , ;Iyl�nneso�a; and cerfii£'ie.s t�ast�a11 �tateznents.�#z�ad� an �hy.�s :�p�lxcatto� are oortiplete, h-ue an�
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<br /> Ap�licant'_s Signature; �2.�,r��F , �Jate,;,�l�� '�� .
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