Laserfiche WebLink
oct-Ze-Z003 04:34ps FrarCITY OF OIEIONO ' �0522414616 ?-358 �P.003/003 610.�'- �� <br /> NO � � , <br /> t� <br /> , � . E.:' . � ' �..� � <br /> • � . .. ., . "i� ' . . . � � <br /> • • •� • r � . . �. � .� , ' • � . • .4;�'�,' �t�,��� ��t . <br /> T�TI � a <br /> N _ ., '�" �� - <br /> ��r >�= � <br /> �x <br /> 20 2 ate tu ❑Yes TWs SectLop App�eS . ��$� �Y <br /> ��F <br /> The replacemeat of a '� <br /> L�14&that meets zlI tbrre of tbe foIIow�g�q� <br /> 1 .�, <br /> ) . <br /> �nquire modi8cado <br /> n tn eleoacical or gas savice. <br /> 2� ���of SS00.00 er less;�clu��e cost of the bxtme ac tpp�; ` :� � : <br /> 3) Ia improved,3nstalled or teplaced by thc host�eowner a�liaensed contractor <br /> slap next secti�aa�;; � . eosc of rermic a 1 s_oo : <br /> 3tatc SurcharCe S S�� <br /> , Mail-Ia Pa S_ I.Sp �'—`— <br /> } , -_ <br /> If above does not apply,tbllow gnidelines below; • <br /> l. Coatract Prtce*is.0125%of job with a <br /> l�tniimum Fee of(S3c�� • <br /> „ � � x.0125 s -�Q� <br /> f�et p�ee� --- . <br /> ��535.00) <br /> 2.�tate S'unbs � '_ *•,�the State Bw�din�Code Division a __ . <br /> /��D r � x.0005 s 7� <br /> (conqt�r p�e) ta�iaiioinn s.s0) <br /> 3.YQstage and Hsthdlin (pn�j►drq�11-bi appl��s� <br /> s __ �.so <br /> a.TOTAL PERMrT�EE�wda liaes 1 3 abov�e) <br /> s —�37,�c� <br /> •corrr�►cr PRtcs�r Jos cosr„�u„a� . <br /> �crials.L6or,proSt�ind odter Wced tost�It is the �a�tita�ted dollar ano�chtrged Por the penNtted work iacludin� <br /> W�P��.hbor�ot instaUadoo is furaiahed b d►e owner �to be eh�r�ed to the aasoornv!br tbe woek done.Jf my►�� <br /> must be addcd w ihe esrimued coat or conerut •�"t o��y otha p�rry rhe reafonabk muka vatus otsuch itema <br /> the job cou,the Ciry may roquesc the wbroissioa�ota����p��.Ia tUe evepe tbat thae is a dispute on We�wu of <br /> ��PY�ebe ae�l caoaact <br /> ••'�STA'I c SLfiZCHARGE is.0003 of qu eontract pRoe under S I.000,000 or SSO-wbichever is��For valuatio�u over <br /> S�.00O��OO pU�IIO Dlp��L Of IASj�pOsl$t�Y�f�� _ <br /> The unddsi�ed hereby applks to the Gry tor iasuanee ot• �� ' <br /> Ihe ordin�nces of the Ciry uid d►e regulatioes otthe Minn��ial Pe�tnit,agro�m do sli woh in aMct aoeotdana with . <br /> •PNieacioa aro eon�lece,true sod cornt S�e Buildin�Code.a�d earoi8es�ut all��de on d�ts _ <br /> APplicant's Signature: /D <br /> Dsu• ��3 <br /> Approved By: � <br /> Date: <br /> 3 <br />