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• '�av1�6-20U2 ',1:30am From-CITY OF ORONG *�ac�ys�U�° � - - <br /> P1�lE��'�E GA�G�.n A'Y'Xc�M�S) <br /> 2pOx�t te S tutc ❑lfes T11rS Settitm A�pteas <br /> -_------,=�he rCA�aCc1_t�ant of a sidential�xncre ar ann!'_�ance tfist meetx alt ihr�of the fo13owing requi�•emencs: <br /> ----- -,- - ---1�--- ° s �_Te'�uir�modifl�atioa to etecxrical dr gas service. <br /> - - <br /> 2) klus s��,�o�S0�.4(F�orTess;��crtud2�p�e a�f che�acture-oc � <br /> and <br /> 3'� �s improva�, instalied or replacec!by#he homecawner c�r licecsed�contraotar. <br /> _ - - S�ci�a nnxt se�n:------ ---- -- - Cost of Permit S 1�.00 <br /> - --- — <br /> --- — <br /> --State Surcharg�- -3�-- -- <br /> IvZait-'!n�ee $ 1.50 <br /> If abov�does not apply, fallow guidelines below: <br /> 1. C�ntr ct rice�is .0125%af job with a i1� � narn�Fec of S3S.QA) -- <br /> ����(2'� — , �i <br /> --- -- -- -- —- .�._...__,._..x O j?.� $� <br /> -- <br /> --- ——— --- - <br /> -------- —� <br /> lc;or�tract pnce) -- - (rn'snimum�35.� <br /> 2. State 9urchar�e.** Add tl�e StsT�BtailQing C�A�Faivisiafl a 1V�inimam Fse q���wa� <br /> ,�,�,s,,,�x .00QS $ _L.�.._ <br /> (corncact price) (minxmum�.SC�j <br /> 3. Po�ag�ant3 Haudline(O�l,y�ai!in a,�v,ladicatinn� $ Y-^0 <br /> ----- -- ------- <br /> -- — -- --- <br /> - -- <br /> ----_-__-_ 4 'I'p'Y'a,�PERMIT F�E '(Add lines I-3 above}-- _ �, _...���____� <br /> "'CONTRACI'PW CE ar JOS CC1ST:neans t�t aetaal or rsetmazad dotlar amoun�chargeG for rhe permitzed work including <br /> materials,lalwr,profit,and ocfier 6xed cos�s.It i�ihe amour.t ta be char�esi ta che custamer far thCµork done.If aity matertzl, <br /> equipmen�l�ar,or;nstatla�ian i,furnished hy the ownar,x�,tant ar any othcr parry chc rcasonabte marlce���aiue of such itzms <br /> - - --_-- mµ�Y tio�cted r�th�-erscimate�t-zasrarcornractprsc�3orpasm , • . <br /> �h��ob cost,iha Ci.y m+►y raquc�c�hs su6mission at a sisrtc4�:s�py of tha sctaai cOncca�Ct, � -- <br /> ""The STAT.Fs S1IRGHARG�.is•.DpOS ofthe eQniraat preet under$l,000,040 or$.SO-wh�chever iS siCpTet.FpT VqIUAtiOR9 OYCf <br /> $l,OOO,OOt�call thc Dd-par�metrc of Inspectional Serviccs for tl�c price. <br /> T}IC URQCTSf�21Ctj h.CTCby Aj7gIlCS t0 INC Cl�l E01 13SUiU7CC Af s MGCI79YI1C�f PC.f[illi,B�TC.CS SO�4�II WO{'�I?1 S1Y1CI 1CG0lY�i7,T1CC 4Vitfi <br /> tne arclinances of tttc City and the[tgi�lkltiony Of ih�MinneSAta atat�9uiiding Cade,and eextitias shut at!�tatcments ma�ic on:his <br /> aAA{iCQ;jq��'�COZIl�11tiC,ttUC Alld Co1TCCS. <br /> _ - - -------- <br /> Applicar►f'S Sign&tute;_ -- - -- — - - ---- --„�,_„_,,�- L']aie: v � ��� _ <br /> A.ppraved 1��: U�te: <br /> -- 3 <br />