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vct-ze-zooe 04:34pe FrarCITY OF O�ONO �" +i622414616 T-353 P.003/003 �-Bi0�' <br /> � � -� �� :������ �� <br /> r �. � . . . . <br /> ' ' . '�is� `�� '.� <br /> ..� -� « . . • . ��+ t' ` <br /> . � . <br /> • ' � k � <br /> �' CA C�JI../�'1"r NfS'�� � ,���.�,� � <br /> r :: . <br /> 2 oZ te t tu ❑Ya Tbis Sectbn Appl�es . <br /> The reptacemeat of a$�j�e,p�j� re �ag�r that meets all Wree of$�e follow� � <br /> �1�: <br /> i� ��1�modi8catioa to elec�cical or <br /> �� �a t e of SS00.00 ar lesa;�cl�i t1u cost of the fnctnte a�sppbaoce; <br /> 3) is improved,installed or replaced by the homeawner or liaensed connactor. <br /> S1aP aact sectic�; � Cost of Perrt�t S„ lS.00 ' <br /> s��c su�c��s�� — <br /> _, . Mail-Ia Fa 3_ 1_so . •�"- <br /> ._ . <br /> if abor►e does not appiy,fbllow guidelines below: . <br /> l. tra Pr *is.01259�0 of job with a Minimum Fee ofl�c pp) . <br /> � .—�-.LO��.__` x.0125 s .35'.OO <br /> taonaaec price) (ntiaimum S35.00) '- <br /> 2. t �a ' *+Add d�e State Btuydin�Code Di'visiou a�am Fee of(S tm <br /> ��70. do X.000$ f r �'f Q <br /> (ca�aa�e pnee) (miAimun�s.SO) <br /> 3•YP�aad Handliing(O�rly iaa�!l�r appltcatiours) <br /> S � �_sn <br /> �t.TOTAL PERMIT FEE(pdd yues 1 3 above) : . <br /> S ��� <br /> •CON'IRACT PRiC6 or JOB COS7'mr�n�t� <br /> �terials.�,proRy ind aher 6:ed cosa.I�is�arnount.�chkllu amo�mc cb�rged fbr die pertNered work inclu�ing . <br /> ��P�.hba�or iaaeallRaon i:fumished by�he owner.uro,a��, �a����0���°�dO0°'u�7►mu�^a!� <br /> musi be.dded w�e escirtuced eosc or coneru� r �Y d���bk reorka value otsuch teenss <br /> tlu job cou,qfe Ci,'�Y��est i}ae s�bmissi�����of du�auuslln fic��t t'hss tlune is a dis�uce on t3�e amourr oS <br /> ••71u STA'!'E SURCHAlLGB is.00OS of qu contrut p�wder S 1000 000 or S.SO-wbiehever is : <br /> t 1.000.000 caU the DepaAment of Inspecponal Se�vka for tlm p� � 8�a►For�+alwtioet orer . <br /> T�a+�de�s��ned hereby q�plks m dk Ciry(ot usu�nee ot�Methaniul Peetnit <br /> the a�dinances of the Ciry uid d�e regntacioas otd►e M ■�B�to do ali work fn stricx aoeo�d�np w� . <br /> •PN�ian a►e comptete.erue and eorrecc �n�St�e Bulldin��.md cerei8es dut all��k on this . . <br /> Appiicant's Signsture• Q� <br /> . d� Dste:__���1--�- <br /> APProved By: . <br /> Dste: <br /> 3 <br />