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Ju1-03-Y002 12:5�p� Fra�-CITY OF ORQNO +9522�94616 T-5BQ P.002/Q02 F-790 <br /> �'ERMI'C' �E CA�.C;YTLATXI�N,�) <br /> �U�02 State �tatute �Yes, This Sect�an A�plies <br /> T�e reglac�rz��rtt pf a Ftea�den#,ial fixteare nr„a���ance tb�t meets all t�ee o�` t�h.e follOwir�; <br /> r�quireme�ts: <br /> 1) Does nat require mo�Ii�catiaz� tA eleGr�x�al or gas servic�. <br /> 2) Ha,s a o al ost o��SOQ.QQ �r less; e� • ��the cost Qf th� �xtuX� or apptianc�: <br /> and <br /> 3) Is improved, �r�s#alled oz�repla��ed lay ch� hom�avvner a.� licenced co,nt�a�tor. <br /> Ski� next section; Cost of 1'ermiY $ _ �,5 QO <br /> St�t� Surc��rg� $ - •.�0 .,,,�-�„_.. <br /> Mail Izx Fe� $ 1,5Q , <br /> If abov� dQes not apply, fotlow �uidelines 1�elow: <br /> �.. Contract Fr��e* is ,QX25 � of job wi[h. a ini�nurra Y�`+ee n,�„f . 3S 00 <br /> , � .Q125 $ <br /> (conu,uti pria�} (minimum�35.OQ) <br /> 2. �at� Surc�a�es �� Adcl th� �tate ,�uiIding Ct�de T7ivision a (11�in�mtu� �ee o�'� .50) <br /> x .OQUS � <br /> (contr�dt prf ce) (mi�ifnuni$ .SQ� <br /> 3, Pas „e and�iand.l�n$ ((�r�ly mar.l-� agplicatipns) � �SQ <br /> 4. �OTA1.�FERM�'x'�`EE (Add Iine� 1�� abov�) � <br /> � �(3Nx1�.A.CT�'RZC�or JQH ��►ST means tk��accual ar estirnated dallar amoi.�t charg�d Por the��rziutted <br /> work it�e�ud�,ng materials,labar,praf�c,xs�d otk�er f;tx,et�costs. �t i��he asnount ta be���r�ed eo the customer <br /> fQr the work do;qe. IP any maceri�.l, equipmez��, labar, ar i�atallation ar�furnisheci by ti�e awner, cer�ant�r <br /> any other pax�y the reasona�Ie markee value of auc1�it�ms ar�usi be added to che esti�ma�ed casz Qr contract <br /> priCe for parcnit fee puzpo�ses, In th�event t�at ch�re�S a dispt�te on the azr�dunt of nc�aob cos�,the City m�y <br /> requesti t.�e submission of a signed capy of the actua�comuact. <br /> �� 'Y'he STATE�T.TRCHA�2.GB is .OQQS of t]ze cor�uaot prxce u.x�der�1,OOO,C►00 ar $.SQ-w$iChever is �r�ater. <br /> �ar valuations over�1,OOO,QQO call the D�pt�ment ot Inspectio� Se�ces for the price. <br /> The und�rsigx�ecl hereby a�plies t4 the City for issuane� of a Flumbi�g Permi�, agree� t� do alI <br /> work in strict �c�ordance with the �ardin�ances o� the Cit�r ��d the �^�gutatio�zs af Fhe �tat� Q� <br /> Minnesot�., ��1 rerti�es �Zat all 5ta[�aen#s made c�n ti�is �pplicati4r� are compl.e��, true a.t�d <br /> correct. <br /> , ,, <br /> Applicant's�igz�a�uz'e: i � Date;�'L�o�, <br /> � <br />