Laserfiche WebLink
. ' _ � . <br /> �O� <br /> � � <br /> a �, Request for Reprint of Oversized Documents <br /> �'�� ����' or Building Plans and Blueprints <br /> 9kEsH04 <br /> Date of Request: � —� � —� � <br /> Document Address: � � � ��- r`- � �� 5� <br /> Name: � � � � �/ �T�'!e-�' <br /> Address: a� d� Tl �i t �- �--�I�►�a c�. � 3 6 � <br /> State: � � Zi :��� �1 � <br /> C�ty: (J � 5 r <br /> Phone: ��� ' � ��^ �5 d � <br /> (Work) (Home or Cell) <br /> Description of document(s) to be reprinted: rQ ��`( � �X a�,, <br /> � CHARGES: All charges must be paid at the time of the request, and are non-refundable. <br /> Requests must be picked up at the City offices unless other anangements have been made. <br /> The charges for reprints of oversized documents and building plans/blueprints are based on <br /> the following: <br /> Cost of lst Prints � @$/.D 5 ea. _ � .DO <br /> Additional Prints @ $ ea. _ <br /> Cost to Scan __�@ $ 5.00 ea. = 3 0� �"o <br /> Special Handling Fee aa • � <br /> Pickup/Delivery Fee 17.50 <br /> Set-up Charge 20.00 <br /> Energy Charge 2.39 <br /> Subtotal 9' S. �9 <br /> 7% Tax /'.7 f <br /> Clerical Fee 5.00 <br /> TOTAL '�`� / O J. (p D <br /> (signature) <br /> 2750 Keliey Parkway,P.O.Box 66,Crystal Bay,MN 55323 <br /> � Phone: 952-249-4600/Fax: 952-249-4616/www.ci.orono.mn.us <br />