P - 43127Building BUILDING Permit No.: ,� � t;��' �5���
Inspections RESIDENTIAL APPLICATION Re B�
763-57�-3604 CITY OF FRIDLEY vat���d�
763-502-4977 FAX EFFECTIVE 1-I-2010
DATE � � '� O YOUR E-MA[L ADDRESS d' ' Oli�'� u l�lC�`� i�/lG�t � I. C��A^
SITE ADDRESS �� � ' �' / � �
THIS APPLICANT [S: �OWNER ❑CONTRACTOR
PROPERTY OWNER/ NAME: � '' c� `� p�
TENANT ADDRESS: �O`'j ��U � // /-l✓C TY �Y/ If STATE /'� ZIP ��y.3�
PHONE: �C� ,� � OLa- ��`7 GT S�
CONTRACTOR NAME:
SUBMIT A COPY OF STATE LICENSE # EXP DATE
YOUR STATE LICENSE
AND CERTIFICATE OF ADDRESS: CITY STATE ZIP
INSURANCE PHONE FAX
PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCT[ON SIZE
❑ TWO FAMILY/NEW CONSTRUC ON STORIES
PERMIT TYPE ❑ ADDITTON RAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMiNG POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION DDITION
0 MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: U t� �'� aa C�i � O � ��
SIZE OF IMPROVEMENT L GTH WIDTH HfiIGHT S FT <�J�J
ROOFIlVG l7 HOUSE ONLY BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan
GARAGES O ATTACHED GARAGE � , l} 2. Proposed floor plan
PROPOSED StZE: �DETACHED GARAGE �� � 3. List of structural members to be used
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING ADDITIONS. & PORCHES SUBMIT:
❑ Vinyl �Soffit 1, Site Pian/Survey showing the existing strucw�s
❑ Aluminum O Trim and proposed project.
❑ Other ❑ Fascia 2. Two sets of const►vction plans
�yINDpWS 3. Energy Calculations
IN EXISTING OPENINGS OYes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPENRJGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL PL� L�;J AKE IiAJL� L V!V VALUAl1VP1� 11�l.LUL11�lJ 1t1L l.vJi Vl' LAISVK A1�IL 1r1A1 Gl(1HL.7:
_ (USING�HE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALU
Permit Fee
Plan Review
Fire Surcharge
Surchazge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ �la,�} ,a S See Back Page for Fee Schedule
$ �Gj('), [� / 65% of Building Permit Fee
$ '��7�� .001 times the total job valy t�'�c r�
$ `� tP .0005 x Permit Valuation Minimum $.50
$ $5.00 (State Licensed Residential Contractors)
$ $2100 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$24=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ �i h Make checks uavable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application ria p�e,�it and work is not to start without a permit on site; that the work will be in accordance with the
annmveci nlan in the caae of �v��mrk vl}iio�.r�auires review and- �nnroval of nlans. �
SIGNATURE OF APPLICANT
V l�• I DATE � �. �
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Desi n# 21�29 �`''� Pa e 1 of2
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�� �� �Sk � 51012010
:�:;��� . .
;ms S cted:
ble roof w! 4! piich, sfandard trusses 2' O.C.
ss [ksign Localion Zip Cade: 5�444
� Wau Framing Materia!
U�ide X 24' Qeep X 8' High
�I16" OSBWa{I Si�eathino
Typar Housewrap
12" gablel24' eave averhangs
tl16" OSB Ro� Sf�athing
35 yr. Castlebrook, Bumt S�nna Shingles
White Alumin�n Soffil & Fascia
Wh�e Premium Roof Edge
Wh�eUinylOuefiead Doar Jamb
1- Garage DoorOpener
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Options Selec�ed:
The oplions you haue selected are:
15 LB Roof Fe�
9-114" Coil Roofing Nails
2-318" 33 Deg Sheathi�g Nails
3" 3;i Deg Framing Nails
S�ndard Concrete B�cks
Anchor B�IIs
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Today's estimated base price: $2,134.19
The base pnce mckades: 0" Eave10" Gabfe O�rerhangs, Framing Materials,
7l16 OSB Root Shea�hing, 20 yr. Fi6erglass Classic - Orryz
Black Shingles, Pine Fascia, GaNan¢ed Regular Roof Edge,
8" Textured U�fical Hardboard Siding, No Sero�e Doas,
Na Overt�ad Uoors, No Wmdows, ar Arry OtherOpians.
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FrontV�w
Back View
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Today's estimated price: $4,305.92
If purchased today, yau save: $161.T1 �
Monthly:BlG Card payment: $120,92
��� Take this sheet to the Buildina Materials count�r #o� n�rchas� vour mat�ri�ls. �`
� , ,.
pp iniama6on en p�e (am, Mher tl�an pric�. has been provtdad by guestand kknards isnot respar�btr fa any err�� p�e infiomieAon arcfes �male, Indu6ng but not imikd 4oqua�y, dmenson and qua�ty. Please examine his
esimale cer�uUy. �IENAROS MAKES P10 REPRESENTATIONS, ORAL, WRITTEN OR OTHERIMSE iHAT TME MATEI�ALS LIST�ARE SUTABLE FOR NNY PURPOSE BEING CWSSIDEI�O BY THE GUEST• BECAUSE OF THE
1MDE VARIATIONS IN CODES, THERE ARE NO REPRESEI�TATIONS THAT THE MA7ERlALS USiEG HEREIW t,1EET YWR OODE REQUREMENTS.
�
_ . �_
Desi n # 21629 �_ � - �
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Illustration May Not Depict AI10piions;�elected
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Building Sae:20 ieet �de X 24 fe� bng X 8 fe�l h�gh � �
Appt�c'snate Peak F��hi {i�cludes 1 row of c�na�e btocksj:l2 fe� 4 inches (148 i�ches)
M�rards arovided nraterial e�imaies �e intended as a aeneral constructron aid a�tl have be� ca�ulatt�fl�sin� �p'�al c�nstnuu�ion rr�• 9�ause ofl�wi�va�able in c�s �d
sife resiridions; aU imaf olans ann matenal li�s must Iw veri6ea wiu� vour �ca� ruruno an�ce. archi�d andlor bui�er (or building de� and code comoliance. Menards is a suonl�r �f
cautrudron mat�'rals and does not ass�me C�bil'�y fa des�gn, engi�ering or the compieteness rial lists provided. Und�g nd e1�lrical, phone and gas I� sf�uld be
located and m�ked before yo�r buiiding �ans are tnaliz�I.Remember to use safery equipmem d�i dus� ma�ksand sigM and hearing protectian during conshuciia► to ens�e
a pos�ive building ezpenence.
_.
Estimate From
� � *
� Estimate # 21629
�I�.S'f(MATE FOR: �
STORE # 3051 BKLY PHONE: (?63) 424-8575 Page � Of 4
nl.[.WAYS CONSTRUCTiON 7800 Lakeland Avenue N. FAX: (763} 493-2329
�zz 26[h ave N Brooklyn Park, MN 55445
New BrightOn, MN 55112 � �
et,: s6zz> aez-eosz . ESTIMATE BY ESTIMATE DATB
PROJ.F.CT DBSCRIPTION: �
70%24 GARAGE JASON M. OS/10/10
SKI, NUME3ER DESCRIPTION QTY TO O�tDER ADQITlONAL ITEM (NFORMATION
_U2-709� 2X4X92 5/B" SPF CONSTR STUD 74 EACH
WALL STllD5
.02-1127 2X4-12' #2+BTR SPF COMST LUMBBR 1 EACH
LATERAL HRACING � . �
'07•1130 2X4-14' #2+BTR SPF CONST LUMBER 2 fiACH
G8L FLY RAFTER
:U� 1110 2X9-19' IF2+BTR SPF CONST LUMBER 1 EACH
LATERAL BRACIN(3
:07-�143 2X4-lb' q2+BTR SPF CONST LUMBER 6 EACH
TOP PLATE - �
'��% 1169 2X4-20' it2+BTR SPF CONST LUMB$R 4 EACH
TOP PLATE
:(i7•:787 2X6X14' #i+BTR SPF CONSTR LUNfBER 6 &ACH � �
SPF FASCIA
i02-1790 2X6X16' #2+BTR SPF CONSTR LUMBER 2 fiACH � �
SPF FASCIA
iC"l.•2'2p7 2X12X20' #2�BTR FIR CONSTLUMBER 2 EACH
OH DOOR HfiAD&R
il1-1309 2X8-47"-48" AC2 TREAT AG ARSENIC FREE LW 1 EACH
SILL PLATE
1).1-1325 2X8-B' AC2 TREAT&D AG ARSSNIC FREB LW 2 EACH ON SALE THRU OS/16/lU
SILL PLATB
il1-1367 2X8-16' AC2 TREATED AG ARSSNIC FREB Lf1 2 EACH ON SALE THRU OS/16/10
SILL pLATE
U.l 1383 2X8-20' AC2 TREATED GC ARSBNIC FRE6 LW 1 EACH . ON SALS THRU 05/16/10
SILL PLATE
i23-1085 1/2 "(15/32)-4'X8' COX 3-PLY 3-SLK STR 1 EACH
HEADER SPACERS .
;24 '1728 7/16 "(19/32)-4'X8' OSB 3-WHITE STRIPfiS 25 EACH
ROOF SIiEATHING
This is au estimate. it is given only for general price infomialion. This is not an affer and ehere can be no legally binding cont�ct
bett�•ee:n Ii�e partia baud upon d�is eslimste. The prica stated herein are subject lo c6ange depend'mg upon the msrket rnndiNans.
7hc pricos stated on Ihis estimate are not firm for any time period unlesg specifically wtinen otherwise on this fam. The avsi�tn7ity
of materials is subject w invemory conditions. MENARDS IS NOT R&SPONSIBLE FOR ANY LOSS INCUItRED BY THE
CI�EST WHO RELIES ON PRICES SET FOR7'H HERETN OR ON THEAVAILABILITY OFAIVY OF THE MATERIALS
C'P.�'I'ED HEREIM. All infomiation w� dtie fomn, oQ►er than price, has been provi�d by guest and Menuds is not rcsponaible for
any crcurs in U�e inforn�ation on this esmnate, including but not limited ro quantity, dimension and queliry. Please examine this esemate GUEST COPY
carcfully. ME3VARDS MAKFS NO REPRESENTATION3, ORAI., WRITTEN OR OTHERWISE THATTHB MATERIALS -
LISTED aRE SUITABl.E FUR ANY PURPOSS BLING CONSIDERED BYTHB GUEST. BECAUSE OF WIDE
\'A RIATIQNS iN CODES, THERE ARE NO REPRESENTATIONS THAT TEiE MATERlALS LISTED HEREIN MEET PAGE 1 OF 4
YUUR CUDE REQUIREMENTS.
Estimate From �
� ! /
� i�STIMATE FOR: , Estimate # 21629
3TOR8 # 3051 BKLY PHONE: {7G3) 424-8575 Page 2 of 4
n�.i,wnYS CONSTRUCTION 7800 Lakeland Avenue N. FAX: (763) 493-2329
�.<�zz 26th Ave nr Brooklyn Park, MN SS445
iit-o-� f3righton, MN :55112 �
i>h: (612) 2a2-so9z ESTIMATE BY ESTIMATE DATE
PR4JECT D6SCRIPTION:
20X29 GARAGE JASON M. OS/10/10
SKU NUMBER AESCRIP'f10N QTY TO ORDER ADDITIONAL ITEM INFORMATION
l� 2'/�g 7j16 "(14/3�)-4'XB' OSB 3-WHITS STRIPSS 23 fiACH
WALL SHEATHING
!�a]•17g9 #15 FELT iltiDERLAYMENT 3'X144' (4 SQ} 2 SACH
ROOFING FBLT
151-1909 SHINGLfi STARTER STRIP 7.2"X33'l" ROLL 2 6ACH
SHINGLES
:Sl 6553 HIP&RIDCE FOR ATLAS 3U' BURNT SIfiNNA 1 EACN
SHINGLES
:51•fi591 CASTLEBROOK 35YR BURNT SIBAINA 22 EACB
SHINOLSS
153•1248 .90L PLASTSC ROOP CEMBNT 9PET OR DRY USS 1 EACH ON SAL£ THRU 05/]6/10
ROOF CEMENT
:i/ ::i98 12' "ADE" ALl)l�l DRZP BiJGE 19HITE 30 EACH
ROOF EDGE
l57 :q03 12' PRO FRIEZE ALUMIAiUM WHITS 10 BACH ON SALE TRRU OS/16/10
FRIBZS RiJNNBR
157�1Q87 26°812' PRO VENTED SOFFITWHITE il EACH ON SALE THRU OS/16/7.0
ALUMINUM S�FFIT
ib'!-]S59 1-1/�"X10' DRIPCAP WHITE WINDOW/DOOR 2 EACH
DRIP CAP
;.5'7-1567 6"X22'R/S FASCIA.019ALUM WHITB 10 EACH ON SALE TBRU 05/76/10
ALUMINUM FASCIA
157 1669 1-1/4" MAIL 1 I,B ALUMINUMWHITS 1 EACH
SIDING NAIL$ �
l.Gl•1(OB 'I 1/2"X50' SILL SEALER FOAhi 2 EACH
SILL SEAL
1.61•2995 9' X 100' TYPAR tiOIJSEWRAPAIR INFILRATION 1 EACH ON SALE THRU OS/16/10
HOUSS WRAP
tfl•3221 1-7/8"X72 YARD TAPB R8D 2.?5 MIL THICK 1 EACH
HOUSfi WRAP TAPE �
7'lo is is an estimate. It is givea only for �{eneral price informaSon. This is not aA offer and there can be no legally binding contract
hri�veen the pan'ies Ixsed upon rt�is estimak. The prices atated haein arc subject w clnnge dcpending upon tiie markel co�idons.
The prices stakd o� Ihis estimaoe are nol fwm for any dme peri� unkss spxificstly wriuen othernise on Ihis torm. Tde availabiliry
` �+f materinls is subject to inventory cond'qions. MEf�lARDS IS NOT RB&FONSIBLE FOR ANY LOSS INCURRED BY THE
C,UEST WHO RELIES pN PRlCES SET FORTH HEREIN ORON THE AVAILABIl.ITY OF ANYOF TH6 iNATERIAL3
S'1:�'1'ED HER6IN. All imfore�u�ion on this form, other Ihan prux, 6u bern provided by guest and Menards is not respombk for
any ertars in the fafonnation on this admate, including but not limited to quantlty, dimeneiwr and qwRty. P1wse examine d�is estirt�ate GUEST COPY
rarcfully. MENARDS MAKES NO R6PRESENTATION3, ORAL, WRI7TEN OR O'CHERWISBTHATTHS MATERIAL$
I.IS'1'F.D ARE SUCCABLE FOR ANY PURPOSE 861NG CONSIDERED BYTHE GUEST. BECA[l3E OF WIDE
\'ARIA'I'IONS IN CODES, THERB ARE NO REPRFSENTAT[OMS TRAT TH6 MATERiALS LISTED HEREIN MEET PAGE 2 OF 4
YOl?R CODE REQUIREMF.N7'S.
Estimate From
. .. — �
�T FSTIMnTE FOR: EStI[liate # 21629
STORE # 3051 BKLY PHONE: (763} 424-8575 Page 3 af 4
ly ALLWAYS CONSTRUCTION 7800 Lakeland Avenue N. FAX: (7b3) 493-2329 � �
i�zz 26th Ave nr Brooklyn Park, MN 55445
Ncr� Brighl'on, MN 55112
i>r�: (�iz) zsz•so9z ESTIMATEBY ESTIMATEDATE
PiiOJEC'C DESCRIPTION: .
:OX�4 GARAGE JASON M. OS/10/10
SKtJ NUMBER DESCRtPTIO1V QTY TO ORDER ADDITIONAL ITEM INPORMATION
i8d-,907 20' RES. PROMPT SHIP 4/12 62# 2'OC 11 SACH •* Special OYder *• ON SALE THRll OS/16/10
monon
ItemNUm=C12020
'9II !i949 S.O. 20� RfiS. PROMPT SNIP4/12 END FRAME 2 EACH t* Sgecial Order *" ON SALE TNRU OS/16/in
d
ItemNUm�C11120
1.t35 7.030 PR6MIXBD CONCRETE MIX 60 LBS 11 BACH ON SALE THRU OS/16/70
CONCRETB
?8� t�f9 PREMIXBD MORTAR MIX 60 LBS 6 EACH
MORTAR MIX
20t3 2165 1-1/4" COIL ROOFING IdAILSGRIP PAST 1 BdX
ROOFING NAILS
'1.0A 9].50 2 3/8"X.113 CTD 2.5M 33DGSP8D-2 2 SOX ON SALE THRU OS/16/30
SHEATHING NAILS
.'!�R �t?00 3"X.131 CTD 2.5M 33DEG SP10D 1 EACN pN SRLB THRU OS/16/70
FRAMINf3 NAILS .. ��
1.7'7-1316 7/lb"PLYY7D CLIp STEEL 25/PC716-HMC IOBG/ 4 6ACH
li-CLIPS
�27 150? NAIL 1-1/2 JOIST HANGSR 1LB GALV 3 EACH
1# Tie Nails
J'7.'i 1647 RAFTER TIE RT15-TZ 22 EACH
RAFTER TIES
729 S:ti7 NAIL 6D GALVANIZED BOX 1 LH BOX 1 BOX
GALV BOX NAILS
229-5570 NAIL 16D QALVANIZED BOX 5 LB BOR 1 SOX
FRAMING NAILS
i:.�i �648 NAIL 16D GALV CASING 1 LB BOX ' 1 BOX
CASING NAILS
'L.i1-2194 5/16" STAPLES 5010-C�5M 1 EACH �
F!S WRAP STAPLE
�'I']iis is an es�imate. It is given only far general price infomution. This is not an offer and therc can ix no legally binding contract
bet�veen Uie parties base4 upon lhis estimate. The priccs sfated hcrein are subjec! m change depending upon the market conditiona
7hc prices staled on tbis estimatc are nW firm for any time period unless speciftcslly written otherwiae on this form. The evailebility
uf m•rurials is subject w invenwty condirians. MENARDS IS NOT RESPONSIBLB ROR ANY LOSS INCURRED BY THE
GU�:S7' �YHO Rp.IES UN PRICE3 SET FORTH HEREIN OR ON THEAVAILABIUTY OSANYOF THE MpTERIAi.S
STATED HEREIN. All infoimafion on this form, other than price, hss been provided by guest and ivknards ia not responsible ior
any crrors in �he inforniaGon on thia estimate, including bnt nat limited lo quantity, a����, .,� q,��ri. e�� ��,��� n��s �sa�k GUEST CUPY
caretully. MENAROS MAKES NO REPRFSENTATlONS, ORAL, WRIITEN OR OTHBRWISE THATTHE MATERiALS
1.ISTED ARE SUlTABLE FOR ANV PURPOSE BEIfYC CONSIDEREI3 BY THE GUE4T. BECAUSE OF WIDE
�'ARIATIONS !N CODSS, THERE ARE 1�lO REPR6SEIVTATIONS THAT THE MATERIAGS LIST6D HBREIIV MEE'f PAGE 3 OF 4
YUIFR CODE REQUIREMENTS.
Estimate From "
� � � �
I ;S"I'[ M A'I'E FOR:
Estimate # 21629
"" - STORE # 3051 BKLY PHONE: (7G3) 424-8575 Page 4 of � 4
ni.LWAYS CONSTRUCTION 7800 Lakeland Avenue N. FAX: (763) 493-2329
i.��z 26th Ave N Brooklyn Park, MN 55445
NcoJ Brighton, MN 55112 �
Ph: (612) 2ez-eo92 ESTIMATB SY E3TIMATE DATE
PROJ�CT DESCRIPTION:
20X24 GARAGE JASON M. 05J10/10
5KU NlJMBER DESCRiPTION QTY TO ORDER ADDITIONAL ITBM INFORMATION
'>.32-9001 l/2"XB"HDG ANCHOR HOLT � AB128HDGBMC BAG . 11 EACH �
ANCAOR SOLTS
:1'I-).G2� GARAGB DOOR STOP WHITS 7' VINYL 2 EACH ON SALE THRU OS/i6/10
OH DOOR STOP
��so.i GARAGE DOOR STOP WBIT5 16' VINYL � EACH ON SALfi TNRU OS/16/J6
OH DOOR S1'OP
,i'/•9377 VINYL JAMB TRIM WHITE 7' 12/16X5-13/16 4 EACH ON SAL6 THRU OS/16J10
OH DOOR JAMH
917-9360 VINYL JAMB TRIt+I WHITE 10'1l/16X5-13/16 2 EACH ON 3ALE THRU 05/16/10
OH DOOR JAMS
R7%-9]20 VINYL BRICK MLD WHITB B' 1-1/9X2 2 EACH ON SALE THRU 05/16/10
ONDR 8RIC1aMOULD
�1'7-9746 VINYL BRICK MLD WHITE 17'1-1/4X2 1 EACH ON SAL& THRU OS/16/)0
OHDR BRICKMOULD
�2S•1088 REAR TRACK HANC�IN(3 KIT IDEAL 1 SACH
REAR HANGSR KIT
•:�� lU9I SUPPORT STRUT 2" Xlfi' k1007106 24G 1 EACH
DR SUPORT STRUT
425-1627 P0612S/D 1/2 HP CHAIN DRVOPENBR 1 EACH
DOOR OPENSR
92!;-9394 16X7 BROWN NONINSL RAISfiDPNL EXTSP MSST 1 NOSO •* Special Order •*
OVERHEAD DOOR
•i3:-1342 OPfiRATOR RBLNFaRCBMENT KIT �3520035 1 EACH
OPfiNER BRACEKIT
563-47.22 PAINTBR'S PRfiMIUM WHIT6 WL003�700 1002 3 BACH ON SALS THRU OS/16/10
CAULK
+*• if purehasad today, you aav� $136.59 •w•
1'bis is an es�imate. It is given only for gmeral pria infmmalion. This is no� an offer and fhe�e can be no kgally binding contract TODAY'S SUB-TOTAL: a, 73 8. 5 3
Ixcween Ihe parties based upon this estimate. The prica slsted herein are subject 10 change deponding upon the mui;et �diuons.
Tl�c prices stated on �his atimete are nat finn for any timc period uaksa specifically writkm oihetwiu oa this form. The availability REGULAR SUB-TOTAL: a, BT 5.12
ol' m•rurials is subjact to invenMry wodifions. MEMARDS IS NOT RESFONSIBLE FOR ANY LOSS INCURRED BY THE
(;t'M:ST \�VHO RELIES OIV PRICES S8T RORTH HEREIIM OR O!Y TH6 AVAII.ABILI'i'Y OF AIYY OF THE MATERIALS
S't'.�'I'Ep t1 ER61N. All tnformation on this form, othn than price, has beai provided by guest end Mrnards is not ►esponsible for
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�'ARIATIONS IN CODES�TH6REAR6 NO REPRE3ENTATION$THATTH6 MATERIALSLISTED HERfi1N M�ET PAGE 4 OF �
YOI�R CODE REQUIREMENI'S.
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