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10/10 2003 13:41 FAx 9528903456 SILGAN CONT. SAVAGE PLT f�003/003 <br /> Oct-10■3008 1Os68� From-CITY OF ORONO +A62Z494616 T-Z60 P.008/008 F-41G <br /> �� <br /> . . ' . <br /> 2003 State Statnte ❑Yes Tl�is Section Applies ' <br /> The ieplacement of a Residezitial fi�re or a�,Zpliance tbai meets a11 t]�iee of the fc110W�tl�i�CQ�: <br /> 1� �itiqusre�lOd1TlC8�0i1 t0 B1CCQiC�1 C�$SS BCN3CC. <br /> 2) Ha�� oost of$S 00.00 or less;�rlj d�' g the cost of the fvct�e vr�pplian�e; <br /> and <br /> 3) rs 9mpr�oved,ir,scalled ot s�laced 6y tltie hvmev�vnet or lice�ed coa��raotor. <br /> S]dp next secdcn; Cost af Permit '$�S.Q� . <br /> 3tate 3urabarge S .50 <br /> Ma�7 In Foe $_, .50 <br /> If above does not apply,�llew�uidelmes below: <br /> 1. t'ogtract Pdc�'�is.O1Z510 of job with s l�aiimum Bee of(535.00) <br /> � ��u)C� x.0125 $ �► D�'r�� <br /> (oonQaa P�al (mint�sss.co) <br /> 2. Seace Surcbar�a.+•Add d�e Stau Bulldia�Code Dlvisioa a 1lstnimum Fee of�S.�) • <br /> �c.0005 $ • � � O <br /> (con�ect pdce) (n�iaa�S S� <br /> 3.Patta�e and Handlin�(On�a�a�����ications) �G�(��J $ <br /> ' ' �/ <br /> a.ToTai.ps.�T F�E(�a�aes �-��� $ "T 7" +� 6 � . <br /> �CON'1'R/►CT PRIC6 oc JOB OOS'C mwi'dte�tu�l or es�oed doller e�rwnAt aharged Yor the percnitted work inctudit►g <br /> mecerials,labor,Pmflt,�nd otlur fixed ca�cs.�t is the amo�mt to be chmged tc tbe customer tv�t1�e w�k doAa Itffiq►�eteriel� . <br /> equipm��,tiabor,o�installufo��is fLmi�d by d+e ownK,oer�ant vr any�eh�r pa�ty th�reasonabk macla�t value oFsuch ioems <br /> rentSt be added to the es�irtf�ed�st or can�act priCe fot pem�it fee purposes.Zn the event thst tlure is a d'e9pute w tbe�111�Of <br /> �heJob o�t,the C1q ma�r�qudr�he oubenl�lon of a al�ed oapy oefia taus!conQact. • <br /> **The STATE SULtCFiARGE is.00OS of d�e coAtr.�ct price undzr S 1�000.000 or S.SO-whichever is�oer.Fo�Vdqotto�€over <br /> S t.000.000 a1!s�e Dap�met�t of Jz�9poctioaal3ervice�&r tha pr1a, <br /> The,mdersi�qned hereby�plies m c�e Ciq+for issuaRce of a Mechan'�cal Pe�mit,agrees to do all work io mict acco�dana a►irh <br /> tha adlnanea■of�e City and ihe ra�l�iens oftbe Minneae�a 5sa�e BuiWing Code�sad eertf�ee etut eli s�ence mtde on d�is <br /> applieaeion�e eomplaie,orue end aoR+eat, <br /> Appliesat's Signature: Date: d D d�— ' <br /> Appz+oved�y: Date: . <br /> 3 <br />