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IUL/10/?013/WED 12: 58 PM Heating & cooling FAX ��o, P, 004 <br /> � 67/10i2013 12:39 9522494616 ORONO PAG� 02/02 <br /> v { . t 4 <br /> r ;�4��c»., .r b�, <br /> r" ti s ��e — <br /> �a <br /> Q yo�,this seatien apA1i�S <br /> s�d�+t� xture. r g�th�t m��a�1 three of the fallowis�requirements- <br /> �h�r�plaaeMent nfa� . <br /> I, �,4P�5��4uiro mod�cation to electrical or�as servlce. <br /> 2, Has a t 1 eo of$500.00 vr Jess;Ex�l '����ost ef the fixutre or applfance�and <br /> 3, Is impraved,installed or replaced by tt►e homeovmer or licensed car�'ector� <br /> Skip next gactfon,9f thf�gPPllns; Cnat of Pcrmit $� <br /> 5tete Surch�t'�� iicable ��°i� <br /> Nlail-In Fee(lf APP � $ <br /> Total Permit Fee <br /> � <br /> �f abava daes not aPPly;Poltow guidel�nes bclow: <br /> CE *is 1.259�b af con�act Pric������'imum�'ee oi'�30.Of1} <br /> �, �(1NTfLAt.' p' � (�r � <br /> M_t�123� <br /> `� �p��) (m��yle►um'�5A.4f1) <br /> � a , c� �Rc� � �,�- x.oao5 � ��'� <br /> (conttoat pl�a!) <br /> 3_ POSTA,�3��HA���'�d(��'iy oe Maif-ln Applicatians) <br /> �.�2'�� <br /> 4. TOTA���RM[T��(A,dd Listaa 1^�Abovc) <br /> g �G�� . <br /> � . * �OrTTRACT PR1GE ar J�B COS b�e��fi�'and othap fixad�4a�.g����m ount to be harg <br /> prxmi�ted wark�nctiud�g materials.la ,P� ui �� �}��.ox�atall�t�onm a*��nished by <br /> to tlt�ouat�eT�oT thc w�'k donc. If any mat�'ial,eq � <br /> nt ar�t1Y Ott�ex P�Y,the�easanable market Walue o�suah i.tama mu5t be ndded td t1�e <br /> the own�s'��+ pe oses. ln the event that thar�+ is a diaputo �t► tha <br /> estimated cast or contraCt ptiice Por po�mxt �P� flf tbe actual cantcact, <br /> amount af the Job co�t,t1Re C�'may roqun�t t!►a 9ubmission.of a eig�e��AY <br /> - i, <br /> The undersigvod horoby a�p'pi��8�Q the City for issua�ce rr�a M�chanical Psrt7ctit,a8i�e tib�a11 <br /> work in strict accordance with t7iag�b�d�n n�a ma�o�n �s ppXjcationg�aze compl8te�txue attd <br /> Minnesata, and eertifios t1n�t al <br /> CO11bCt• <br /> � "/ �� <br /> App}ieent's Si�atuse. Date: <br /> 3 � <br />