HomeMy WebLinkAbout11/19/2004 - request for reprint of oversized docs �O�
O �� O
� �,�,
>��� �,, � Request for Reprint of Oversized Documents
� ' �,�,. G� or Building Plans and Blueprints
��kESH��`'�
,
�Date of Request: � ��l/• /�, 2��
Document Address: ,� � 2 � � S C �� C� r�-�C
Name: � c�� �-'�-,�c k �� �� -���,5
Address: �1 2 � � ����� S �� o �� �:� � �x.,
City: �_�%��Zc:�-��� State: aL.�Lti� Zip: `�`�3`t 1
Phone: Q J"2- -�1.��'' /�/L�'C% ��5� � �7/ yl`r�
(Work) (Home)
� C�il ;�. iZ 325CA16 �
Description of document(s) to be reprinted: �'/���� �lctn s
1 17`x Z�2 � C �nU c�F �."��c �i �� 23 �,�,-•����
CHARGES: All char�es must be paid at the time of the request, and are non-refundable.
Requests must be picked up at the City offices unless other arrangements have been made. The
charges for reprints of oversized documents and building plans/blueprints are based on the
following:
Cost of Prints: �� � �_' (� � �u � ��� 5 U
Special Handling Fee: 02 J� C� U
Pickup/Delivery Fee _______$10.50 ___.
Subtotal I �%'�j � �j0
6.5% Tax (prints/handling/delivery): j� e O�2--
Clerical Fee $ 5.00
TOTAL ���� U�
�
(signature)
'� _ �, J
2750 Kcllcy Parkway, P.O. [3ox 66,Crystal Bay, MN 55323
Phone: 952-249-4600 i Fax: 952-249-4616/www.ci.orono.mn.us