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, �ay-13-?002 10:36am Frcm-CITY OF OP.4�0 +q3;";P43l6 T�•216 P OOf/��g F-712
<br /> P�I2n'IIT 1�'1�C�1i_CULATION�SJ
<br /> 2()0? St;�te Statutc ❑ 1'e3 This Sectic�ai Ap�ties
<br /> Th��•:E�Succm..i►t of a�2esi�lentia) fixR�re or ap, i n,�i�r thst n�eets r �1 tlirae of ttie following rec�ii:rcments:
<br /> ]) nnes n�t te��i�ire rnodificatioil to EICCtriCdl Or ga�: ServjCe,
<br /> ?j 1r��s a rotal rn�,t of$500.00 or lcss; cx,;lii�i����tff; cost of tf�e fi;;tureor;�p�,li:� ic�::
<br /> and �
<br /> �� L imProvC(�, fll5lili�Ct:j ut i irJ�:ii�,i� ��y thc h:;�ne���. n�r ar 1i":n�,Cij Ct�(Ifl"1^t(:l'.
<br /> a}:i}:� ►�e�i sec[ian; ��oSt Of i':tmit �
<br /> g 1�.i!�
<br /> ,rtate Surrtiarge$,_�--'-�r�
<br /> `�isil-In :rc � ..�_:�,�� � .
<br /> If aht�vr c;���•s riut a�,�,ly, follo��•�;uid�li�t�s bclo�v: ..
<br /> l. Cnnlrsu l i�,�icr''' is .0125''0 ofjob�vi�h a l�iiaimum Fl•L O�_(c �:Y.00�
<br /> . ..__.�_��`�_�.�..C'��_x.02�� � //�,�5�
<br /> (co�tract pric�j (mini�:���ru �!.;�)U)
<br /> ?. ti1�Yr `��;��l�bri►�. *"' Add die Sts',�Building Code nivi:ion�t' ?ir i u�:� 3�e;:��f(�� .�p�.
<br /> ��� _X.000s � _ `�-��.�._._._,
<br /> (contra:.i Fric�� (rii��i:�num P, SU)
<br /> ?. Pn9t:,n r ;�ricl TIAncllin�(()�J/,y�trnYl-i�l a1��11c,r11U7uj � ,�"l1,��--
<br /> 4.TO'fAL 1'L't�P,11'1' I�`El;(A�1d lines 1-3 above) $ ��1. �'l�, __
<br /> *(:OIJTRACT PRlC�or J011 COST�ntans the actuul or esiin�r,ted dollv u,i�:,nc;,hsrg;�.for the pen:ii:ced v.�,rfi inchi ling'
<br /> materinlq, Inbor,pruti�,an a o�har fixed coses.I�ia che arnouni�o bt ehargnd to ;;e eustorr:er[or[hz wor�;done. t[any rn�t�rial,
<br /> tqUlpn�enf, Jabor,or instuilacion Is hlmished bv tha o�ti�ncr,tcn:�it or sny othci ,:arty thC rYa50n1L(C mo;k:t vslu:of su�h itcros
<br /> niust bo Adde�t to che estimsccd cost or cont�act prica fur pem�ie fee rurnoscs.I the evenl thst thcre is a dispu;c„n N�e�.mount of
<br /> th�job�osr.tht�il;;n�:,�•►cqu�,r thc,ul,missicn��f a si�ut:i copg oCG��actu;�',�uhtract.
<br /> •�Thr.5'T'AT�;SU2tCFIARGE is.ODUS of tltc cuititiaet prcc und:r fi 1,�X10,00�; .r$50•u l�i:i;ever i;�i�3ltf, J,;� 1;;;,.,, i�ns over
<br /> W 1,U0O,C00 call th:Drpart�uent of Lispcctional;;;rvices fvr iht pri:e.
<br /> 71ie undarsignrd htrtby npplies to the Ci "for i�suunce of s htccn�uiical Ptrrc,� ,al;rees w�iu all ����il. in sui;i u,cord„r;ce with
<br /> the ordinances ofihc City nnd tAe regula .on��uf thc hi�nncsr,tn S;a;c[t,,i!din,, 'od:,�utd ctf;it��;�(�ut i�U stat:��,;r.ts i;r�dt on Ihis
<br /> F�4�Vlicarion are coir:�,letr,rruc anQ corr�.c •
<br /> � _ �,
<br /> , '/
<br /> A �lic�nt s Si�rz�riire: _ •r , ' � �� l'� � �._._
<br /> P! ' _.�`��l.L/�/y ' _...�..�_:_..`�._.. ..� r,1ce: .� (�' J
<br /> _1 i'
<br /> AJ��fro��eil I1}�:
<br /> - - .�.... __ , ._..,, Dnte:
<br /> 3
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