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From:Headng&Cooling TwFex:(8@8)550-92D3 To:+19522494616 Fax: +19522484616 Page 2 of 2 121412D12 12:39 <br /> Dec-04-2012 12:43pm From-CITY OF OROnO t85t2494616 T-805 P.001/001 F-403 <br /> � <br /> �� � � � �� u. <br /> r <br /> .t q �� 1 <br /> � �V <br /> � <br /> � Yes, this section applies <br /> The replaccment of a�Sidoncial fi� � �liancg that meets all tl�ree of the follawin�requirtmec►es: <br /> � ce uire modificadon to elecRical oc gas service. <br /> I t• � q e,c���g thc cost of�he fixture or appliance:and <br /> 2, gas a o co of 5500•DO oc lcss; <br /> , 3. is improved,uutalled ot replaced by the borueowner or licansed conaactor. <br /> Cost of Permit $ t 5.0� <br /> Sidp naxt secrion,if ihis applias; S�te Surcharge ��—�s <br /> ' " Mail In Fee(IfApplieoble) �_ l� <br /> Tocal Permft�ee <br /> .fE,�• Y,�' • •� � 4 ` <br /> lf above doas not apply;follow guidtlinas below: <br /> t ��V'I'R,+�CT pRYCE " i3 1�5'ib ot Co�s►Ctpdcd willi a(Miele,+um Foo of S35.OI1) <br /> x.0125 S <br /> (comrac�p�ea) (n,inimum 535.00) <br /> Z. ST aT�SURC�►RG� *'Add the Stace Bldg Code Div.Surchetge(hllulmnm Fee of 5.50) <br /> x.0005 S <br /> (contract price) (nunimum 3 .30) <br /> 3. POSTAGE Sc H-4NDLING�d�Y aa Mail-In Applicaaons) $^._ 1•i� <br /> 4. TOTAL PEIt11rIIT��E(Add�.iae31-3 Abovt) s — <br /> • + CONTRP►G"r PR10E oc J08 COST means �he acmal or esazaared dollsc am��unc eharged foc �e <br /> pe�miaed work ineludiag rnacerials,labor,pcofit,and oducmfi�x`d�bs�tsor��t`��e���ish�d by <br /> w nc�customer for�e work done. if any�material�eq P <br /> che own�r,tenant nc any other parry� the reasonable market value of sueh irems must bt added w tlu <br /> cstima�ed cosc or eon�act prica for peccniz fce purposes. In che event zhat there is m dispuie on the <br /> amount of the job cos�, ihe Ciry maY re9uest the submi:sion of a signtd copy of che actuai conrract. <br /> ■ ••The STA'IE StlYtC�-iA�tGE is.0005 of the Building Depsrtrnent a�(952)?49-��60�for thc price. <br /> � . . <br /> y � ,,^ nj i . .1� •�� <br /> :4' <br /> The undersigned hereby applics tio the Ciry for issuar►ce of a Msehanicsl Pcrmit, agcees to do all <br /> work in strict accordance with �he ordinances of the Ciry t+nd the regulations of the State of <br /> Vjinnesotg, and eertifics cliat all stacaments made on this applicatton are complete, tcue and <br /> corcect. <br /> � ��� <br /> e�,ppliesrs's Signanu�: Date:_ <br /> 3 <br />