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�u1-09-E002 12:5Qpm Fra�-C�TY OF ORQNO +9�22494616 T-5B0 P.QOZ/Q02 F-73Q <br /> i ti ' <br /> PEl�MI'C' �E C��..+t�XILATXCIIY,�,S) <br /> �Q02 �.ta�� Statute �Yesa Thi9 S���f'ion A;pp#ies <br /> T�e replac�m�erct of a R.eqiden�ial fixture c�r�,��� that meets all t�ee o� t.t�e �'p110wi.�g <br /> r�quireme�,ts: <br /> 1) Doe� nat require rnoct�ficatiaz� ko elec�iGal or gas servic�. <br /> 2) H�,s a o al ast o��SOL1,Q0 �r less; �xGlu�g zhe cQ�� ra£tl�.� �ixtux� or applzanc�: <br /> and <br /> 3) Is improv�d, ins#all�ed oz�repl���d lay th� homEovvner a.� lzcenc�d cox��C.�a�ctor. <br /> Ski�a next s�ction; �osc oF Permit $ �..,,�5 QO <br /> �s��t� S�arcbarge $ ��0 <br /> -�--_.-�,.,_., <br /> Iv�ail I�.F�e $ 1.50 �,,, <br /> If abov� d4�s not ap�Iy, foliow guidelines �elaw: <br /> �.. Contract Fri+�e* is ,Qx2S 7 of job �i�h � ��nimwr� �'ee � . 3s.00 <br /> _�. �. .0125 $ <br /> (canu;�at pria�} (maz,imum�3S.QQ) <br /> 2. Stat� Surch�ar�e� �'� Add the State �uildin� ���le ]�ivisi4n a (11�in�mum� �'ee ��$ ,50) <br /> x .OQf�� $ — <br /> (contraat price) (mir�uni� .50)� <br /> 3. Pnst�e and �ianc�l�ng (Qn1y z�a�i`1-� �gplioat�C►ns) � �SQ <br /> 4. '�QTA�PERM��f'FEE (Add Iine$ 1�� abov�) � <br /> � CC3NTT�ACT PI2ICE or 7QB �QST mesns th�ac�.uel ar estima�teQ dc►llar au�ai.�t chaxg�d fox the p�rrnitted <br /> work i�eiuding zszaterials,labor,pr�fic,�.nd ather�xsd coats. �t i�the a�nount ta be c��r�ed�o t�e customer <br /> for tlae work do�qe, IP any mate�i�l, �quipme�G, labor, oz iz��caltatioa axe fuz�nisl�d by tiie awner, cer�enx� <br /> any other pa�y the reaso�abIs m�rkec v�.lue of aucli ic�ms musi be added�o[he esrimate.d casi oz�contract <br /> price for germit fee puxpo�ses, In ehe event tk�t th�ra�S a disput�on the aa�ount af che aob cas�,tk�e Ciry may <br /> requess�he submission of s si�,ned capy of th� aetua�car�ua�ct. <br /> *'� The STATE�[.TRC�IAI2�B ia ,Q005 of t]�e eQn�acz priae u�zder$1,QOO,Q(?Q ar $.5Q-w1�.iChever is �;reater. <br /> �or valuations over�1,Op0,Q40 call tl�e D�pariment of Inspectio�x Sezv�ces for the price. <br /> The und�rsignerl hereby a�p�ies to the Cxry for issuaz�c� of a�'Iumbing Permit, agree� ta do alI <br /> work in strict �c�ordance with th� c�rdin�ances c�'� t1;� �it�r a�rd the x�gulatioa�s of �he �tat+� Q� <br /> Minnesota, �� �ertifies that all stax�naents ma.de �n this applica[i4� are �4mpl.e��, true a�d <br /> correct. <br /> �--��—�- <br /> Appli�ant's Sig�atuxe: --��=�i- r�-C�-��2Q- Date: � 9� <br />