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. . ..�, . , i <br /> � <br /> [a] Yes,tlus section applies <br /> i <br /> T�o replacement of a.Residentiel flxture or aanliance that meets all ttgee of the following requircmenta: <br /> ; 1. �r�quiro modification to electrical or gas scrvice. <br /> 2. Hes a�of$500.00 or less;ax 1 ' the cost of the fixture or applience:and <br /> 3. is improved,installed or reptaced by the homeowner or licensod contr�ctor. <br /> Skip next sectian,if this applies; Cost of P'ennit $ !5•00 <br /> State Swcharge $ 5•00 <br /> ' Mait-In Fae(If Applicable) $ 2 <br /> Total Permit Fee 5 <br /> If�above cbes nat apply;follaw guidelines bebw: <br /> � 1. CONTRAGT PAiCF «is 1,ZS°/a of contract price with a(Miai�nnm Fee of�SO.OD) <br /> �� �C7O. �' x.0125 S //S. � <br /> (contract priae) (r�irimn SSO.00) <br /> ; 2. STATE SURCAARGE <br /> �T Z�0� � x.0(}OS S �, C�O <br /> ; coMract price) <br /> � 3. POSTAGE&HANDLING(Only on Mail-In Applications) 5 2.00 <br /> i 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ <br /> •; " CON'1'RAGT PRICE or JOB COST means the actual or estimsted dollar emount charged for tho <br /> ; permitted worlc including meterisls,labor,profit, and oiher fixed costs. It is the amount to be charged <br /> i to the customer for the work done. If any mataial,equipmen�labor or installations are fumished by <br /> ! the own�,tenairt or any other party,the reasonable marke� value of such items must be added to the <br /> � estirnated cost or contract price for permit fee purposes. In tfie avent that thete is a dispute oa tite <br /> ; a�mount of the job cost,the City may request the submiesi�of a sigAed copy of the actusl cflntract. <br /> 'l�he undersigned hereby applies to the City for issuance of a Mechanical Perinit, agcees to do all <br /> v�ork in strict accorclance with the ordinances of the City arn3 tha regulation4 of the State of <br /> I�Ii�esata, and certifies that all statements made on this application ara complete, true and <br /> c�crect, <br /> i <br /> A�pplicenYs Signature: Date: 7. ' <br /> ' e,.��, k•�.��s . . <br /> �G�z) 7zo - 3zN <br /> �' i��L ; � G�edP-� G�.� �" 3 <br /> E 'd Xd� 13C213Ski� dH WdEb =b �i Oz S i �aQ <br />