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FEB/18/2014/TUE 07: 39 AM Heating & cooling FAX No, P, 004 <br /> , . . <br /> Dac-04�2012 12:43p� fron-CITY OF ORONO +9522494616 T-805 P.001/001 F-409 <br /> �„ � '„4 �'i' �� �9' ; <br /> �' T �.Y�4!' '7 ww. A Q. v ..I�17 .!� { <br /> .� <br /> ❑ Yes,�his�ction applies <br /> The r�placerr�nt of a Rcsidtnc�s �.n�re or a lian e thAi ntEZtS alI LIlYe�p�thC fO110'pVlrig n�u�tmGnts; <br /> 1, oes noc rzqulre�nodi�ieauan�o�ltcn�cal or gos scrvice. <br /> 3, 1�as s��ral cast of SSOD.oD or lcss;excl�the cost of che fixtur�or��pliaucz;and <br /> 3_ Is improved,u�s�alled ar replaced by the hamcowncr or licansed con�ctor. <br /> S1dp naxc szc�on,if�his applie3; Cost of I'ermic $ 1�92 <br /> Srssu Surcharse � <br /> " Mail-In Fez(If qpplicable) $_ 1� <br /> '�atal��rmit Fae $ <br /> k�� A YiN'�.,� �' x �N'�`I t �• <br /> � <br /> If above doas not apply;follow guidelines bzlaw; <br /> 1. COI�i'I'R?�C'I pRT�E "'i3 1.2�"IO a�COilYC•lCL pi'ICG wiEl�a(Mtnia►um Foo of S3�.DA) <br /> � � <br /> ��„ �J x,�125$ _ � <br /> (con�'�cc�ricd} (n rnlntum 533.�) <br /> 2. S1`ATk'.SURCI�,YtG�% ""Add the a[ste Bldg CO[ie Div.Surrhacge(Nliul�+um Fee of�-50) <br /> x.0005 $ <br /> (cantrac�pricr) (sninirr�m S .50) <br /> 3. T�OSTAC*�d.''T�Al`YALING(OCily on Msil-L�.Applitations) '�^_ 1.50 <br /> 4. TOTAL P�1x1VIIT�'�E(Add Lina�I-3 Abov�) 5�,.�-1 �' �� <br /> � � CONTRACI C'�.IC� ot JQB CpST n�ans tbe accual or esdmated dollar aan�5unt ehargcd for zhc <br /> pei7niued work ineluding tnaczrials,tabor,pro�'r,n�d othCt fixed eosu. IL is the an�oun'C co be cltiarged <br /> to dlc cus�unier for the worlc d4ae. Tf any�materisl,equipment,labar or inscallariaus are furoishad b� <br /> ri�e owner, tcnonr or any od�er parry,the reasonsblc mflrket valuc oP suah i�ems must he addtd�co �he <br /> esrima�ed cos[ or conuact priea for permiti fa�pw�poses. In [he a'v�nc ihat there is a dispute on che <br /> amount of che jab cosc, th�Ciry ritssy requcst the submission of a sign�d copy�f�he actual contract. <br /> • *"'Tlle STAT�.SUkCH�1RG'L•ls.0005 af iha guildiz�g Departmeni ac(�152)?49-�3Ci00 for Aic price. <br /> , `'���' T ;f <br /> � ''� �,�,,j'• '' ;,�, '� � � �: 1. � <br /> p^ F _ .�. 7 <br /> �'he u�ldersigned h�r�by applies to'che City for issugnce of a M�chanicsl Fermit,a�rees �o da s�ll <br /> �vork in strict accardance with ihe ordinances of tht City a.�d the regulations of che Scate of <br /> Miniaesota, and certifies tl�at all srarenlents m�.dc oa� khis a licatid� are complete, crue and <br /> cOtrect. j� <br /> Applicsn�'�Si�nacure: Date:,�� ��` <br /> 3 <br />