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<br /> � Yes,this sectian applies
<br /> Ths replacement af a.Residential fixture or ap�ian�that meets all three of the fol lowing requirements:
<br /> I, D not r�uire madification to electric�l or gas service.
<br /> 2. Has a ta t co af�5{}(?.00 or tess;exclu�the cast of the fixture or appliance:and
<br /> 3. Is irnproved,installeci or replaced tay the hameownar ar�ieensed contractar.
<br /> Skip next seatann,if this eppties; Gost o.fPermit $ l 5.04
<br /> Stare�urcharge � 5.�
<br /> Mai(-I.n Fee{IfApplicable) $ 2.�p
<br /> Totai Permit�'ee g; �p��
<br /> ,t:�"y �.tiF 3 '-s,.Sy �;
<br /> HN 5?3� .t�,;q��'��w�y,P�., � M1 � _
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<br /> ���'�` � �`° +��
<br /> �� If abave does not applY;fotlow guidelines belc�w:
<br /> 1. CQNTRACT PItiGE *is I.25%ofcontrac.-t price with a(Nienimum Fee ofa�SQ.pQ)
<br /> xAl2S$
<br /> {cot+ttaCk pnt�} � {fnFnimum�.i0.0U) ��
<br /> 2. ST�,TE SURC�I.4RGE
<br /> �.....� x AOOS $
<br /> {contract price) . —"�"_
<br /> 3. FdSTAGE&MANDLING{{�n�y o����-�n Appticatians} � 2A0
<br /> 4. TOTAL P�RMI7'FEE(Add Lxnes t-3 At�ve) �
<br /> ' * C4NTRACT PItIGE at JQB GC1ST means the actuai or es�rimated dollar amount charged far the
<br /> permitted wark including materia�s, labar,profit,and o�er fiaced costs. lt is the amaunt to be charged
<br /> to ihe customer for fihe work cEone. �f any material, equipmerft, labor or installat�ons ar.e furnished�y
<br /> the owner,tenant or any other party,the reasonahle.market vatue of such item.s must be added to the
<br /> estimated cost or contract price for pernait fee puxposes. In tihe evant that there is a dispute an the
<br /> amount of the job cost, the City may request the submissjtin of s signer! copy of the actual contract,
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<br /> ��' .a:. »�ay�t,sti
<br /> The undersigned hereby a�plies to the City for issuance of a Mechanical permit, agrees to do all
<br /> wock in strict accordanee with the ordinances of the City and the regutat�ons of the State of
<br /> Minnesota„ and certifies that all staternents rnade on this appiication are complete, true and
<br /> correct.
<br /> Applicant's Signature: ,�� Date• �
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