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wev-io-cuuz ;�:30aai,, From-CITY OF ORQ�G +95t246d615 <br /> T-Y47 P.00'/00' F-161 <br /> • p���vrlf'li'�--.-��.�►�����A'tt'�OikCS) <br /> 2Uil� St�te� t"te �] Yes Ti�i�s Seetion Applics <br /> T'he replacenten+c of s R.esidenrisl f�xture or�p�iance t}�at meets g1C Ehr�e vf the foflowir►g requirements: <br /> 1) o s reqaire matiPication to ef�rcrical or��service. <br /> �) H�@,���of$50C.OQ or{ess;e�ccl_ adi.n--ov the cost of rhe frxt�tre or applinr�ce; <br /> and <br /> 3 j Is improve.�, instaltet3 or rreplacecf hy the homeawri�r or lic�r.sed contraotar. <br /> 5kip next seccior�; Cost of Permit � 15.Q0 <br /> State SurcharBe$ ,5Q <br /> M��l-rri F� � �.sa <br /> If above doa.s noC apply, foilow gui��iines below; <br /> 1, C��t�ct rice�°is .412S�Y'o of jr�b with�IVli�a�num�'cc u�f�3 001 <br /> � U� � x.o�2s � ��5� <br /> f,cor.tract pricc) (n;inimurt;$35.�3f!) <br /> 2. Sdate Surchst�**,qdd tlie Srnte�u�lding Code pivisios�a Minimum�'e�of($ 501 <br /> �,�:,�X .aoas � .--. � . <br /> fContfFtCi pY:CC) {tflin�fllUtll$.SL�j .....• <br /> 3.P�usiage s�ad�au iin (Or/y mai�-�n appticntloris� $ !.�� <br /> 4. 'Tt�TAL PERMIT FEE (Add li�tes i-3 a�ove} � ���� <br /> *CONCRACT PR2CL�or 3(7B C�ST:neans tht srtua!or estimattd dollar am�um chsrged tor rhe Pertriitred work iaclading <br /> materials,la6or,profit,and ach�r frxed rn9ts.!t i�riie amount io bc charg�c!to the cus[amer for the wotk done.If�ny ma�eriat; <br /> eyuipment,labor,o�snstaita►tion is furniyherJ by�hc awr�at,rr,,,�;��y at�r�y�t t�tsoaabk market value of such rtems <br /> nsu3t bd udded W tbe�ScimtlCed Cost or contrq�ct price fot pes,flit Fre purqo3es,?n c6c cvent that there is a disgLtt on the umount of <br /> Ch��ob Cost,ihe Ci.y may request�he submi�siort rYu q��ed.�c,py ofthe aCtuai eontrec�, <br /> *'T'ht STATE SURC�IARG�.is•.�005 ofihe contracl�ric�ander�1�0(fO,�Otl or$,50-whichever±s�re�ie�.For valuation9 avrr <br /> $l,044,OOG call a.h�t D�parxmanc of Insputiortn!5trvices for chc p�icc. <br /> �T�1�.UfYdCfS't�T1Ctf}1CfCPly qpp�ItS CO IHC Cl�/EOI 1391{OL]�C pf H]4FCC�19[HC01 P�YITJIt,.9�TCCS CO t�0 3�)WC1C�If1\LIjCt BCCtlld'dl1CC Wi�}i <br /> the orclinu:ces of thc Cicy and thd rtgul�ntioru�nf tht Minncsoi:; "stat�Buii�+ng Cade.and asrt,tics thatt al!seatcments mar�c on:his <br /> appiica;ion are cornpltu,truc and cor�cct. <br /> A�����rirs s��,�c���:���-�- —.--...�.� '� <br /> aar�: /11 c% <br /> �.�proved $�: Llate: <br /> . � <br />