Laserfiche WebLink
4hx•i5:2CO2 ;1:30� Fr�ITY OF 0&OPIC *��cc"'"°'° . _ . <br /> , •. <br /> �S�wx,��� ,�_[^.1[rr.w'Y'YOAi[3) <br /> 2tIQ�St�e 5 t�ete ❑1fe�T11�Se.�tiAn Apptios <br /> The rcvlacemenc oF a$r.s=nal�Cncre e,�,�ol�ance fl�at meecs alt thrce of the fotlowing requiramants: <br /> --- 1) �s�re uire modift�tiorj to etectrical or gas service. <br /> 2) H89 8 fi,�j O � .vv w S,4?iC u f�S ��►--. <br /> &�� <br /> 3� Is improved, iri9tailed ar replaced i�y thc ht�msowner ar licensad contractor. <br /> ---- - S ' Cost of Permit $ �.00 <br /> State urcharSe <br /> Mail-Tn�ec $ 1.50 <br /> If abave does not apply,faliow euidclines bclow: <br /> 1, C� ct,�„riee*is .01259�6 of job with a�itga,m Fec o�(S3�.OQ1 <br /> ---- — �,, n�X c�� 5 s ��� <br /> w <br /> lcontmcz price} (mirimom S' 3�— <br /> 2. State Sureh�e.**Add the S�e Huildistg Cade Division a Minims��n FQ,g g�'��.�.,,,� <br /> ,,,,,.���(�{? x,t�05 $ �• � <br /> � ntract pr:ce) (min�m�m�.S�i <br /> 3. Pp�e and H$AI �S����'�'�+aPPlicatinn�?j $ _,.,, ; <br /> ---_ __ RMIT FEE Add lines I-3 a�ove} $ ` <br /> '"CON'l'RACT PRiCE ar l08 CaS�':neans tbe wet+�al or s�seimated dol]ar anwwm char�eti for the pe{miurd work including <br /> snate.teels,labar,proHt,end ati�cr fixcd c�s.lt is thc amaucst ta ba charged to tRe cqstumer far the work done.lf any c�rtscrial. <br /> equipmen�tabor,ar insWlatian is furnsshed hy the owner,u,�,aei or any a�ti►er psxcy she reasonabk mnrkec��alue of such items <br /> --- m�s .. <br /> ��ob cost,tht Ci.y�say req+�e�t ttrc snbmissioq oPa segrted.x�py of fNe acWRi cont�Cc, <br /> "'•Thc 3TATB SUR�HAR4�.is•.OQ05 of�As contraci ptice under S1,400.000 or t•50-whichever!s greaior.Far vah�atbns ova <br /> $l,000.�catl c.he D�erdrta�n of InSpectionaf Saviccs tbr ttK pn�iee. <br /> The undastgnrd hCreby ayplies sA the Ciry Oo�issuaner of s Mect�icai Pexrnft,a�necs to�lo atl work in:mia accardance with <br /> trie ordinanas of shs Ciry and th:regulntio�w a£tht Minnesos:,Ss�c�Buiid'sng Cade,and cerGtics d�at a!1�ca�cmcncs ma�c on:his <br /> ApgiicA:ion�comptete,cru¢a�t�d coerc . <br /> Applican�'s Signat�we: � Date: �_„_ <br /> Appraved By: Iaace: <br /> --- 3 <br />