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07/28/ZO10 DPED 8: 52 FAX 763 �73 8565. Sabre Plumb�ng i Heatinq �003/003 <br /> a � .. <br /> i <br /> , � �. . ' . , II ,� <br /> . , . . � ;I � .. <br /> � Yes.this section applies ' �� , � , ' <br /> The replacement of a Residential fixture or,�geti nt�,��that mcets all threc ofthe following requirements: <br /> 1. Does not require modifcatian to electrical or gas servlee. <br /> 2. Has a total cost of$500,00 or less;e c ud' the cost of thc fixture or appliance:and <br /> 3. Is improved,instAlled or roplaeed by the homeowner or licensed contracior. <br /> Skip next section,if this applies; Cost of Permit. S_ l5.00 <br /> State Surcharge $ 5.00 <br /> Maii,In Fee(IfApplicable) $ 2.00 <br /> Total Permit Fee $ <br /> � y <br /> If above does not apply;follow guidelines belqw: , �; <br /> 1. CONTRACT PRICE *is I'';�i5°.(o of cont�act prf�C with a(Miniinum Fec of 550.00) <br /> i : � <br /> ' � , ����:� x A125 <br /> .__..._..._—._.....................__...._....................................................._._........................... <br /> ., . _' (conlract price) (minimum S50.00) <br /> .. .. '...........................................................__.........�.......... ......_................................,..................._..._. .........._............_...._._.......................................... <br /> 2. STATE SURCHARGE **Add tlte State Bldg Code Div.Surchatge(Minimum Nec of55.00) <br /> {� w„"T ~ <br /> v X.00OS $ � <br /> (conlract pn�) (mini�ut��f S.uu� }� <br /> 3. POSTAGL&HANDLING(Only on Mail-In Applications) $ �..._ <br /> 4. TOTAT,PERMIT FEE(Add Lines 1-3 Above) $�•�..5� <br /> ■ * CONTRACT PRICE or JOB COST means the'actual or estimated dollar amount charged for the <br /> permitted work including materiais,labqr,proft,and other fixed costs. It is the a�nount to bs charged <br /> to the custonier for the work donc, lf any matariat, equipment,,labor or installations are fumished by <br /> the owner,tenant or any other party,the rcasonable market vafue of su�h items must be added to tl�e <br /> estimated cost or contract price for permit fce purpos�s. Iq {he event;thal there is a dispute on the <br /> amount of the job cost, the City msy req►Iest the submission.of a signed copy of ihe actual contract. <br /> � � <br /> ■ **The STATE SURCHARGE is A005�times 11�c Contract 1'riee.or a 4niiiimuin of$5.00, <br /> , <br /> The undersigned hereby, applies to the City for issuance of a Mechanica] Permit, agrees to do all <br /> work in strict accordance witl� tl�e ordi»ances of the City and ihe regulations of the State of <br /> Minnesota, and certifies that all statemen#s �nade on this application are co�nplete, true and <br /> correct. <br /> Applicant's Signature: Date:���u���`"� <br /> 3 <br /> ;,� d <br /> � � ,. <br /> i�� <br /> !' ,� , � <br /> � ; ' <br /> _ , ' <br />