Laserfiche WebLink
05/12/2014 09:39 7632592299 SCHULTIES PLUMBING PAGE 09/09 <br /> ❑ Ycs,this section applies <br /> The replaccment of a�e�i�dendal fixt�e ar apeliance that meets all 1firEe ofthe follc►wiing requirements: <br /> 1. D.ces not require modification to clectrical or g�service. <br /> 2. I�.as a wtal cost of$500.00 ar less;excludine the cost af the.fixture or appliancc:and <br /> 3. Is improved,anstalled or rcpIace�by the homeowner or liccnscd contractor_ <br /> Skip next sxtion,if this applies; Cost of PErmit $�._ 15.00 <br /> State Surcharge $ S.DO <br /> Mail-In Fee(if Applir,�ble) $ 2.00 <br /> �'otal Perrnit Fee $ <br /> If above does not apply;follow guidelincs bclow: <br /> 1. C�NTRACT PRICE *is 1.25%,of contract pricc w�th a(Minimum F'ee oR'$SU.DU) <br /> � � � <br /> x.0125$ <br /> ( ntmtl pricc} (misimum 560.00) <br /> 2. STATESURC ARGE � f�� <br /> x.0005 $ �$, � <br /> (conuact pncc) <br /> 3. POSTAGE&HANbI„ING(Only on Mail-In Applications) � ,2,00 <br /> 4. 'T'OTA,I.PERMiT FEE(Add LinCs 3-3 Above) $_ �ox, �rr C,/ <br /> ■ * CpNTRACT PRiCE or JOa COST means the actua[ or estimated dollar arnount chtvged For ttte <br /> permitted work including materials,iabor,proFit,and other fixed costs. It is the amount to be charg�ed <br /> to the customer for the wark done. If arry material,cquipment,labc►r o�installations are fumished by <br /> the owner,tenanE or any other party,thc reasonable nc�arket value of snch items must be added to the <br /> estimated cosc or coatract price fcn permit fcc purposes. la the evcnt th�there is a dispuCc on the <br /> ampunt of thc job coat, the City may requ�t the submission of a signed c�py of the actual conhact. <br /> '1"he undetsigned hereby applies to the City for issuance pf.a Mechani.ca] Perm{t, agrees to do a11 <br /> wo�rk in strict accordance with th� ordinances or tihe City and the reguiations of the State o�f <br /> Minnesota, and certifies that all statezraents madc on t}tis application are complete, true and <br /> cn�rrect. <br /> �1pp1[cant's Signature� Datc: � �e� ��/ <br /> 3 <br />