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, , ,04-20-'18 07:54 FROM- T-818 P4403/0004 F-304 <br /> PERMIT FEE CALCULATION(S) <br /> BASED 0�'F-2002 STATE STATUE <br /> ❑ Yes,�his secCion applies <br /> "Tl�e replacemeitt of�Reside,itial fixiure or nppliancc that meets all three of the foflo�ving r�ryt�irements; <br /> I. D not reqt�irc modific�tion io electrical or�s srrviee. <br /> 2. Has a Eotal cosc of$�00.00 or less; u � the Cost of the fixtnre or appli�nce:anci <br /> 3. Is improvcd,installed or replpte<i by tht honuo�vncr or liceiised conlractor, <br /> Skip nert section,i�tliis Rpplies; Cost of Pec��nit � 15.00 <br /> S(at�SuPCllflt'gC $ S.QU <br /> Mail-Tn Fee([fApplic�blc) �,3.00 <br /> Total!'erroit Fee S <br /> pERMIT PEE CA,�,CUC,ATTON'(S)-JOBS OVER$$00.00 <br /> If Above does��nt apply;Follow giiidelines beto�ti': <br /> 1. CO\TR���T PRiCE, &is l?S'/o of conn•act price tivitl�a(�linimum Ccc of SS0.00) <br /> �9!r =' �,. x.o��s�_1 � ; <br /> (conlract pricej (niinieium S50.00) <br /> 2. ST.�T�SURCwI 112C� f (� �j/, <br /> � � x.0005 $ �'' <br /> (co0tf8ct prive) <br /> 3. POS'I'AG6 R I•rAND�.i\Cr(Oitl�'on\It►il-In�lpplications? $- �2.00 <br /> �1. TOTAL PCRIIIT f C�(Add Lines l-3 Above) �� �'� <br /> ■ s CO\''C'RACT hf�(C� or JOB COST me�ns the nc�ual ar eslinl�ttd ctolltlr nmow�t clinrgcd for tlie <br /> penllitted o'�rk�i1CIp(jj���InA1C1'ItiIS�Inbor,�rofit,and oclier f:xett costs. fi is d�e Tmoum co be cha,ed <br /> to thc cuslon��r for Uit��•oi•h dane. [f any niaterinl,equipnten[, Inbor or installntions ere fiirnishe<I b}� <br /> thc o�viitr,tcnnnt or any other party,tlie reasoaable markct value of such itenis rnust bc acfided In Ihe <br /> cstimated cost or coi�iract price for pen�iit fce purposcs. tn the event chat Ihcrc is a disputc on the <br /> amount of the job cast, die City r�iap i•tqucst thc subinissioii of�►si;ned eopy of thc actual conu•act. <br /> M�CHANICA,L.C��I�MCT Al'PLrCATION ACCtEEMENT <br /> The u►tdersig��ed hereby applies ta dle Ciry for issu���ce of� Mechanical Permit, a�rees to do All <br /> ��•ork i�i su-ict �ccoedance �vith the ordin��nees of the Cit�� aiicE the t'C�t11�1fiotlS Of C11t Si1Y� 01� <br /> IVIi�1�1CSOtfl, �ncl certifies tll�t all Stiitzl11et1IS Illaae 011 II11S RppIiCFlttOn ctt'l: C0111J)IE[Z, EYlle flll(I <br /> CO27'eCl. <br /> s <br /> Applicant's Si�nnture: � D�te: � !J <br /> 3 <br />