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rEB/27/2017/MON 11 : 55 AM Heating & Cooling 2 FAX No, 7634283677 P. 004
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<br /> Q Xes,tlus section applies ' -
<br /> The replacement of a Residential fixture or appliance t'haf Yneefa all�hree of the fotlo�ving rbquirements:
<br /> " 1. Does�ot rc uire modificatiori to electrieal br' a�seryiae.
<br /> 2. ��Ias a tal cost of$SOO:OO or less;excludiri�'t}�e�ost'o`f th��xCure or appliance:arid
<br /> . ' `� 3. Ts irnprpvc.d,installcd or replaced by th�'ti,orii�op/xloz:or izce�s�d'contzactor.'
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<br /> , � IvZax��Znk'ee�'(If�,.�Plicable) $, .,�.Sb :
<br /> • 'I'ot�l�ermif�'ea�' $ ' �
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<br /> ' � 7f above does not.appl�r,Pollo�v guidellnes be�o�W; 1 '� ��;.
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<br /> ' �1: CONTRAC'T'1�RTC�� *is 1,25%bf opr�t�-act�z'�ae wit1��.(Minimum Fee bf$35.OQ) '
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<br /> � � ' `Co�tt�Ct pr{ce) •. (t�iiAimum 535.00) ' "
<br /> ' ,: . 2; 'STATE SiIRCHARGE **Add#he_State$ldg Code.Drv,�c�argc:(�i����l�.�ee.of$.SO). , _
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<br /> ;:> �, _ � x:OO6S $; • ,
<br /> ; �,(contrac� �ice)� �: (minimum$ ':SO)
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<br /> '3: POSTAC'rL&�TANb�,TN'G(Onl�9n 1V�a���u App]zCations) �.� �
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<br /> ,` 7, ` 4.. TiDT�,L 1'ERMIT FEE(Add T,i�es 1;3�Al�a�e� .$ . / �
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<br /> � ■ '" C�NTRAC:T FRiCE or :TO$ �OST' means the acfua� pr,.es�uYza�e� dollar arnount.charged for the. ,
<br /> �` i * �; pem�i�t@�5vo��C inal}iditig tnatengis,lab�r,prafitj�nd,qtllcr fx�ed vosts; Xt'�s tli�arr}oiuit tp��;char��d
<br /> ' ' to'�he'cuatoYiier fox the woik�done If�iy zn�ti�i��ala �qu�pment,��bOr or ins�a112lhons�re fiu�shed'by
<br /> th�,p��wrier,�ei�ant or any other party,,th�r�asona�lq`�xzax�et ual�ee yo#'su�h ltel'�s �§t:be added to the
<br /> , � � • ` estim�ted cos� or aontract pr�ce fo�peru�.��ry�pu'�pse� ' �n the event that,tlier� I�,a dispu{�e on the
<br /> � -` amouut of th��ob�ost, the �ity may,'r8queg4`C�� suliinassiou'-of a s��ned�copy of tYCe actuaX.�ontract;; . .
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<br /> ,' , ■• . *'�The S`�A'�,��SURC�Cr��s�4095 o�'the$tuldu�g L?epart�nent af(952�249 4640�pr ttie prrce.
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<br /> '�k��ut�dersi�ned'�her�by applies#o the ��ty for 3ssuance of a+1Vl�ch�niCal�'ezxxut,8�rrees to tLo a11
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<br /> y%o�k,l�i 'shxct 'aacar�ar�ce with�the ord�nan�e� Qf�ttie ��Ey-;�r�c� the r��ulatiens of:tlie State of
<br /> ', ' �inneso�a, and;certi�es that all stat�r�ents,'ina�e dn fhi� ,�ppl�catran'are coi�ip�ete, true �and -
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<br /> : Appliaant's.�ignatu�'e: � Date;� � ,
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