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Ju1-08-2005 06:52am Fro�-CITY OF ORONO +p6224�4618 T-254 P.004/D04 F-02Z <br /> . <br /> ' � '' 1� • a'n�♦ q�,7� •. <br /> .1� • 1 :y :i. f."y'1"7 <br /> v• �,r� M h� ;�, � �• j ;i' 4. �"� I�� N'•' t�r�'�, rf+ <br /> �.t�I i�R C �i r � � ..� <br /> '�,,� i <br /> p Y�,�s�uoa�p��$ <br /> 'The replaccment of a � <br /> l cl�us macts all three of tbe foUcwinB re4uir�'�� <br /> 1. �nquire modiffcadon w elecuical or gas servica. <br /> of 5500.00 or les:;��1n8�cost of the fixture or�ppliance:sad <br /> Z. Hss a� laced by the hozneowsur or li.cea�ed coutraccar. <br /> 3. ls ia�proved,installed os rep <br /> liCe; Cost of P�rn�s S�� <br /> g1�p next section,if this epp' S��Surchas�e S .54 <br /> �il_��ca(Lf Applicable) ��� <br /> � Total permit�ee s- <br /> •tq r k..� �.w:11. <br /> V y � � v!' '�,ti�'+ .,M��'.rti�i M, <br /> i .� '� ,� 4 <br /> Yf above does not apply;follow�uidalines belcw: <br /> E "`is 1.25%of coatract pr�'th a(1V1t�►imu�a�ee oi��) <br /> 1 x.0125$ �v ��----- <br /> toti�c) (miaimum S35,OD) <br /> ( <br /> 2, c�'eT�CTlRC�IA� '"Add t�e Suu�ld�e Div.Surchur8e(Mtatmurn�ee oi�.s0) <br /> x.0003 S °� <br /> ` r,onmccprtce) (minimum S ,50) <br /> l�ca�ions) $ 1.50 _ <br /> 3. POS'Y'AGB&HANUL[NG(Orily on Niail-Ia App ' <br /> a, ro�c <br /> q,�,pF�tMYT I�E(Add Lines 1-3 Above) � ' --�— <br /> ■ « Gp�ACT pYtICE or ]OB COST meaus ��°�g��u.�us��0��be cbsrg� <br /> permitted aork iaduding mererisls�]ebor,Pr fit, l�bor or installatioru ase li�cnished by <br /> to ths custome�c�ar the work do�a. �'any u�terial,equ�Pm�� <br /> th�oamer,tenant or any otbex parry,du re�°�k���value of sueh icaias m�ust bC acided to che <br /> �'c ases. In the event that The�e is a dispuu oa the <br /> esrim�ted cosc or conrrsct priee for permit foe puxp <br /> �ount uf che job coat,the CitY maY ruNest�ha submissioa of a sigaed eopy of the actual c��act• <br /> • *•The STATB SCJRCFi�►�G�is.4005 of d�e Buildvn�Deria�m�ns as(9S2)244-4640 for�►e Price. <br /> y�� <br /> � .i.i't�Y� <br /> x ;�'. � <br /> The undersi�ned hcreby �pplies W the City for issuance of a�a�the regula'dns of�the Sta� of <br /> work in strict accardance witt� tb� ordinan�es of� �1Q' <br /> Ivlinn�sota, and eertifies thac all statements made on tbia applicatian are eomplete, �u � <br /> comcc• <br /> � Date� —�- <br /> Applicaz�t s Si�ture <br /> 3 <br />