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09/16/2014 0$:49 9522494616 CITY OF ORONO PAGE 04/05
<br /> JUN/1(/2D14/WED G9:26 AM Heating & cooling FAY No, �. 004/004
<br /> L�ti' M.�'r �t ��i'1>!.�,yh 7�'L K� -�, ..�- ,S,,�� ,� q� �ru-� 1el v��,'S �r rs
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<br /> if' S.� X. ro �t`.�l� L ,+ W'�'V,,("` i �r�y
<br /> a w � '`'7,4, J,.� 3` ��1��,�,22 �-I x.�� r�,:�, r �L -� ID���;
<br /> �������h���t+}�a'�k"��fi3���..l���L'll�.�,'� "�'��I�� .lEt;�!.C� �'L`b���Cw'i14'�S�wf�h.� i�a�' F"'i��i �.�,�,r,�.
<br /> � > �.��.�h. �M� S t'I.�a�i��, Ji,w.+�^
<br /> CJ Yes,this se�bon applies
<br /> The repla�acnent of a RcsidcntEa]fixt�v�or a}spli�nce tha�meets all three o#'L}�,e foalowing requiremenu:
<br /> 1, �oes.not requlre mOc�.�7cat10A tp e]ec�lF.dl bc g89 3CrvioE,
<br /> 2, �as a acal cost of�500.00 or�ess;ex�] ' the cost of the fv.rture or appliance:aad
<br /> 3. Ts improved, u�stalIed or replaaed by the homaowner or licensed oantraater.
<br /> 5kip next sec[io�if this applias; G46t Of PESZ11jS 5 1 S,Oq
<br /> 5tate Surchar�e � 5,00
<br /> Mai�-In Fee af Applicable) �__.._._ 2.�0
<br /> '1'otsl Permit�?ea S
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<br /> •M�. •�, � � ,;�i`n ..� . .. � ' .^i�Z:s�, k.x . e "� � �'� 4�"�Nh
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<br /> • If above dors nat app�y�follow guidelu'aes b�lvw;
<br /> 1. CON'Y'�tACr PAY�� "' is 1.25%of contract pricc witF,a(Miafmum Fee of�SO.op)
<br /> _ 3�a � x.oazs� s B �""
<br /> (eantract wice) --(miri�num SSO.flD)
<br /> 2. $�'.A7'�SURCHPY.R('x� ���1�
<br /> X.000s ,s _..(e,��
<br /> (CDflvSct price)
<br /> 3, PQSTAG�&HANDLINC's (On1y on Maif-In Applic�tian�) �_�,ap
<br /> A. TQTAI.PERll+XX'1'�'E.E(Add Lir�es J^3 Above) $ �� 6'� �
<br /> • ^ C�NTRAC�'P�G'� ,�t d0� �O�T means the �ctuaI ar estimatod dollar amount nharged�r the
<br /> pernu�ed w❑rk includxng xaatsriais,�abor,�,1fD'�ti,�Il[�P171Cr�17Se�OQ9t6. IY l8'E31C 3TTllOLtllt to be CjiBigCd
<br /> to ths oustamer�'o,r tbe wqrk dons. L`any material,e�iupzncn�Iabor or ixrsr�t,lations are furnished hy
<br /> rho ow�ncr,tonant vr any ❑ther party,the reasonable merket vatue of such items must be added to the
<br /> estizna�.ed cost or contraet priee for permit foc purposes. Zn the cv�t that tF�cre is a dispute on the
<br /> a�uo�mt o�t�e job cast, the Ci#y naay roqUest tl�e sub[r�xbsion of a signed copy of the aetual eoratraot.
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<br /> The undersigned heraby appi;e5 Xo the City�or issu�n�e of a 1Vl�chanical �'ermiC,z.grees to da al'.
<br /> work in s',xlct aceer�ce with 'the orciir�ances of the City and the z�gu�ataons of the State of
<br /> Mi�esot� and certsfios tJ'�at a11 staternertts rnade on this appiic�ion are cornplete, true an�i
<br /> carrect
<br /> Applicant's 5ignat��re; • ` o�_ Dafie; �-rLt.- C`�
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