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<br /> �au-i5�20A2 i1:30am Frnm-C1TY Uh UNUN�
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<br /> ��.�,�.�� ❑Yes T�i�S�etinn Appl�es
<br /> T?n�repl�cet►aanc af a II��?�,?.�i��°���ti�nt meets�it thre���'ehe£�allowix��ret��ix�cments:
<br /> 1) �g,�a'eQuir�madd�lc.aticft�tc{et�tr�cal or�o cast af nc�fixtut�or applxanc�:
<br /> z) Hms a#��I a�'$SOO.QO or 1��;g7�...t���8
<br /> and
<br /> �) Ts irnpxo�va3, inste►lled ar replace.d by the�o�neowt►sr or lit�nsed aontraator.
<br /> Skip n�xt sec�ion: Cost of Permit $„�,1.�.�4�.-
<br /> Stace�u+rcharpe$„�,,,,,,,„.,.,,��.5�_.�.---
<br /> Mail-In Fce $,,,,,,,.,,,_,..�.�.�.,---.--M-
<br /> �f abav�d4e.q not apply, follow�uidelin�.c h��ow�
<br /> �,. ,�,�, rice*is.Oa 2S% o�'job wi�s 1%�nutn�e � [S�� �-
<br /> � x.0125 �_.�,���1,.
<br /> lcontsacx price} (m4nemam�35.4(}) �
<br /> 2.Sta e 9urchar�e.«*Add dae 9�e�Huilding Cade f��wisa�n a. ie '���,s.�..�'�.L�_.S� �
<br /> � x.(3QAS $ �,
<br /> (concruct pric�) (miasmum�.SOj
<br /> 3.F+��e and�ndlims(Q�nl,y nurai�-�r+u,p,pd},caddn�� $
<br /> �
<br /> �'7
<br /> A,'�'C,►',�"tA��•Y�AMIT F�� (Add lines 1-�abov�) � �
<br /> '"COI�TI'ERA�'I'PRIG�ar IU�C49'i�moA+R:s t�s acRual or t�sima�ul doller amaun�charged for rhe petmes�ed w+�rk incY��din@
<br /> ma�eteala;IabnR,pro$t,aa►cl oth�r fixcd costs.�t is nc�amou�t tQ ba charged to chs cuscom�r�'or the work danc.I f any m�aeial�
<br /> cquipaaont,laboc,ar instellatian ia furniahad!sy tha owner,�ea�ant ar at�y At11�r twrty t!►r res�sonabia markct vniva of su�h itams
<br /> m�t bo ad4cd co tA�os�imnted cnsc ox snnaact prace tar porm�c��Du�►asc�•i�che co•rnc cha�ct�are is a Qixp�.sc on tha umount uf
<br /> th+��ob cost.11so Ciry imay�uest the aubmis,��on at'»ei�cls4 un�py ot'Rh��Cts�ti conuAca,
<br /> *+'ThC S'�q,7'$9iJR,CN�AR.�3i�.is•.aQUS qfihc conuacl priee un�er$1,400,409 or$.S(3�whichever!F greste�.Far vuivations ovcr
<br /> $1,Q06.00Gsall the D�,•pastmcm o�Insp�tianal Savicssfor tlic prica,
<br /> Thc ur�dcrsi�ned hrreby�ppli�tp the City P4r i3:lunnec 4t a MGchamical Parm[t,l�,TCCS�O QO i1ZI WOT�C 1!1 CIiAS�aCCOP{�i7d1GC Wtlh
<br /> the ordi�ances of ik��City and tlh�rcguln�iana�nf tht Mannesot:�?►tatn Flvild'+�ng�ad�,�d oet��dias Zhat etl ytatameats mas�a on thi9
<br /> appdica�ian�re camp�ct�,cruc and concc�.
<br /> Applir.�n�'s �i�tattire:�, .�....� ��t�:-����,�',��'�_
<br /> Approved 1�y: ��'�:
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