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<br />MUELLNER <br />BLACKTOP INC. <br /> <br />Parking lots <br />Driveways <br />Patch work <br />Seal Coating <br />Snow Plowing & Removal <br /> <br />7007 20TH AVENUE SOUTH <br />CENTERVILLE, MN 55038 <br />(651) 482-0731 · FAX: (651]'426-4500 <br /> <br />S~5 <br /> <br />DATE I{)"-d--{)~ MAP <br /> <br />:~::E~7;~~b- <br /> <br />CITY . ?~~~ ZIP <br /> <br />. . ,,~~ <br />.\~~ . <br />~ll <br />~/. . . <br /> <br />n ""~:'i,t''''''' P <br />",~Y'. . . <br />'~ '7A11<; <br />~: <br /> <br />HOME <br />PHONE <br /> <br />Approx. sq. ft. <br /> <br />Homeowner to provide permit 0 Yes 0 No <br /> <br />o Asphalt --3 Inches Compacted <br />o Overlay Existing Asphalt <br />o Overlay Existing Concrete <br />o Remove One Layer Asphalt <br />o Remove One Layer Concrete __ <br />o Use Your Base and Add to Establish ~ Inches <br />o Dig Out, if necessary, and Add -S- Inches Base <br /> <br />WORK <br />PHONE <br /> <br /> <br />j,.. () vV'Tfl, <br />"OM/IV <br /> <br />~ <br /> <br />oIi.Aijv~rc' <br /> <br />NO~fft~ <br /> <br /> <br />JOB QUOTE $ <br />CITY PERMIT $ <br />$ <br />TOTAL $ <br />$ <br />BALANCE DUE UPON COMPLETION $ /_"7/ 7ff~ ~l <br /> <br />t PAYMENT IS DUE UPON COMPLETION OF JOB. Finance charge of21% will be assessed on unpaid balance. <br /> <br />, THIS PROPOSAL IS GOOD FOR 30 DAYS FROM DATE. <br />t ACCEPTANCE OF PROPOSAL. The above prices, specifications, terms and conditions herein and on the reverse side ofthis <br />contract are hereby accepted. You are authorized to do the work as specified. Payment will be made as stated above. Should <br />conditions unforeseen when estimated be discovered at the time the job is started, including but not limited to underground <br />concrete barriers, extended garage supports, concrete or asphalt layers under surface thicker than layers estimated, concrete or <br />other debris required to be removed and/or discovered during excavation, owner authorizes contractor to proceed with job and <br />agrees to pay contractor for additional labor costs. Contractor shall not be responsible for the disruption of service or cost of repair <br />caused by cut telephone wires or television cable wires. <br /> <br />AUTHORIZED <br />SIGNATURE <br /> <br />DATE <br /> <br />AGENT <br /> <br />AGENT <br />PHONE <br /> <br />o Newspaper <br /> <br />o Yellow Pages <br /> <br />o Referral <br /> <br />ICZ <br /> <br />MAIL SIGNED PROPOSAL TO: 7007 20th Ave. South · Centerville, MN 55038 <br /> <br />CUSTOMER: RETURN WHITE COPY WITH SIGNATURE <br /> <br />KEEP YELLOW COPY FOR YOUR RECORDS <br /> <br />PINK-OFFICE COpy <br />