Laserfiche WebLink
CITY 0� ORONO � 6122494616 06/20/00 08:18 � :04/04 N0:458� <br /> �. . � �. . . 1 <br /> . � . . F'rItFPT.A('F�C � ' �'. . . . . . . . <br /> � � � . � � Gas tac:tvey fuep�ace . � � . . . . . . . : <br /> . . ���''�?�'vod.burting�#acta�y�f ireplacc witl�i�lue , � . �. � . <br /> .—_ :W ood Stuv�:. . . . . . . <br /> . . , . • . 1�VUQ(i 6EOVe�Wtt}1 t�7tte . � . � �. • ' . . ' � ' . <br /> � . .� .. :�. Bratiid Name. : . . . �. .� .� Model No.. . . . . . . <br /> � .� :.�: :����T�QN �. .� . � � �. �, �. . � � . , .� � . � . <br /> . . . �, . No.:� � �Kiucl�en��E�haust� � ��ducked � recircFilating�.�cfm . . <br /> . , . . ...� �:I�io;: .,_ . . ::�atti Fxhaust (c�usc ti�a�c�ea��utsiae> � . c�m . . � �: � <br /> . � . � .: No.. U��iex ��iu� �Locatians � . �' � c�in . . <br /> . :��.----- L:��GE (MUST B��APPROVED BX PIRE�1�fAR5�iAL:� �� . �. . . <br /> , � � I�sEslt�cion .: ��.Remova� . �.� �:� : . . . � � . � : � � . <br /> ' � . � � � .� �.�.�Fu�� oil:. �.. � . gallons � ���. � �� u:r�arg�ound � iriside � outside � <br /> . . . ���Lp aas: � .. � -� � gaua„a� . . . . . . <br /> ��.. :-,��__._ . . . . . <br /> � . � �.., l�the� � � � : � � � ` C3.as.opening: � <br /> . �. :�. . P.�rt�t�T�'� .' ��S��,A3�QN �� � � � . �� � . � . �� . � . � . . <br /> . � , . � .�1. :� ,1:=�25 9'0.of�4F�.:�']�e"` �r Mii�inenn.�F���S35:D0) � � . � . <br /> �� � �. � � , . : . . � .. � . . . � �/���;o�� x .0125 . �� �� �-?..�": �v� : � . <br /> . . _ � <br /> :� . . . . �. (co�aacc piict) � . . . �. � . . <br /> � . � :� �2.�. �� �. �.�Sfe[c�5u�cti�ara��:.�'"' Add�tlie�State�$t�iT�ding�.Coci�D�vision � � . � � � � � <br /> � � . : . . �Stucharge C�i euc[��permit: � � �i::�;��� � x .0005 � $ � `?�-��c�. <br /> . . . .. . o�` $.3C?�, �w�ichever�i$�.g�eater � � (concraec�pr.icej � � � . . � . .� : : <br /> �� : �. �. ��- � , PQsiag����8� (On�y�maiI-�n appT�ications) �$ ._ . 1�.50 � � . <br /> � . .� � ��4. .. . TCaTA�L,�P�RMIT�FEE �(Add li�ies�1-3 �aboxe) � . �$ . �,3 5;�.S`D��.,_ _ . - <br /> � �. : � * CON'�I�AC.'.C'PR1C�a�]OH CC1ST nieans Ef%e�etGat or estimaced dodar amuun[.chsrg��fo�the.permi�ted <br /> . � � . � . .wr,�rk uialt�ding�i�riats;�1�bo�,prafit;and c�Jtar f�xec�cos�a:�It Is che aeiiounriu be.charged�tp tlu cuYtomcr <br /> . . � � � � for:the yv�rtk dpne. If�aay�matcrial;�equiQmem..labo'�r,.o��i�tatalCation are furniahcd by�the ou►i�qr.�.una.nE or � . <br /> � � .: � � .nriy��otFie��p�rty�ihe reasonafik.market.value�f auch iion�s.mupt be addcii to tlte eaWmaccd.cost or convuct <br /> � � .� : � aii�e��or pec7qit jec:puiposes. in�t�tveAc that tb�re fs�a.dispute on fht ar�ount of the job cogc;�the City may � <br /> � � � �:.�c.yuasi�e�subrnissi�n af�a signed copy uf:r�e��iol confrcicc. � , � <br /> � .� *�'" ��7'ke 5TAT.�SU1tCH.4RG�.is .OU05�of the contiact priet ur�der R1,000,000 dr �.50-:whichever ia grearer. <br /> � ��'or va►l�dtion�.pver�.i�,Q0�;000 c�ll fhe..�Dcya�tment.of lnspoctlqma}Services for the�ptiee. � . . .� <br /> , . � �� � The unde�tsign�d�hereby appl.ie�.to the�City fa�issuance.c�f a Ntechanical Perrtiit, agre.es to do atl <br /> . � ��work�ir�.strict accurc�a�ce�.witl� thc ordit�nc.crs��of thc�Ciry and tfie regul�t�ot�si of the �h+1'tru�esota , <br /> . . � � : State Briild�ng�Code�,..a�d�cert�#7es t�at�alT�siatements tnade on thls appTacation are comp�ete, crue � <br /> ��. . . �. �ni��CorrecR. . .. � . � � . � � , � . .� . . .. �. . <br /> .� �. . �:� .A►pplicaa�ti`s:�ign�ture: . . � . � � Da�es (c. �Z. I�17 <br /> . . . �z�„v �'q. E�!'a7�i..� . . ' . . . ' . <br /> . � � Approvtd.�By: ... � . � � Dacc:� � . .. <br />