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O�t-13-2Q09 01:55�n From-CITY OF QRONQ +9522494616 T-851 P.003/003 F-112
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<br /> '��l�d i i,�#�f�raplt��1 Jt`d��'4�lt���J i�f���;�7��m7����'ti'���1J� �'�'-Fy`�x,��;+"3�����ti��;.',1�`�.N•'nq .�� .... .r'A .�:i. i w:�.:� .i ! �.�
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<br /> [� 'Yes,rhis section applies
<br /> The xeplacement of A}?esidenriai fixmre c�r a�liAnce that meexs ali three of the fallawi���;r�quiremcnts:
<br /> 1. oes t require ma8ification w eleccrical or gas scrvice.
<br /> 2. Has�to 1 c st of�500.00 or less;exci ' che cost af the fi�turc or agpliazu:e:and
<br /> 3. �s ixnpr�ved,inst�lled ar rcplaced by�hvmcowner or liccnsed conu�c>r
<br /> Slap x�cx�secrian,if t�is appiies; Cast af Permit � 1$.�
<br /> St$i�S11TChda'ge $�5Q
<br /> Mflil-In Fee(If Applicable j $ 2.Oa
<br /> Total Permit�ce $ _
<br /> ����'�� � � _ .,. ` n; F. ��i� �' s�:,'N '�
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<br /> lf abave does nut apply;follow guidelines k��lo�w:
<br /> 1_ CQNTR.ACT PRICE *is 1.�5%af contract price with a(Minimum Fee of$50.00)
<br /> � . ����,GT X.o1�5� ._.C37A � _
<br /> {rnntraci price) �rriin::num�50.(}0)
<br /> 2, TA'TE SUR �RGE "`*Add the Sca�e I�tdg Code Div.S�charge(Minimum Fee of S,Sa}
<br /> /.�y 91��O7 X.oaos � ..._ ���`'�
<br /> (conuaci price) �tinirr9mum Y .50)
<br /> 3. PO�TAGB c�H.r�I+�T�LING(t)aly an Ntail-Yn Appticarians) $--- �.40
<br /> 4. TO'�'AI,PE�1V,�T'I'F'�E(�dd Lines]-3 Above) �._.._� y� .r
<br /> • * CpN'TR,ACT' pRIC� or J�T3 CO5T means tha aerual or essimered dollar a��x,unt eharged fc�r che
<br /> permitted work incltidin�ma�eriais, labor,gm�ic,and ather fixed costs. Ic is the aroount to be c,�argad
<br /> ta thc eustomer for the work done. I�any ina.�erial, equipment,labar or installa�iong�re furn�$hed by
<br /> the owner, tenaent oz any or�er party, the reasonable market value of such ie�ms inust be added ta the
<br /> estimated cosx or eontract priee for permit fee gurgoses. In the Gvcnt �ac chers; is a dispuie on thz
<br /> arnaunt of the jab c�sc, the Ciry may request the s�bmissian of a signed copy ��f the acu�al cautrac�
<br /> + *"`The S 1'ATE SURC�IAR.GE.is.00QS of the�3uildang Dep�ment at(952)249-4640 for the prz�e.
<br /> �wU � ,� } ' ��f .l�;r [� uE�i�ur,���
<br /> Th� cmdersi�n�r�hereby applies to tho Ciry far issuance of a Mcchanicst Fermit, agrees to do a11
<br /> work in strict aecordance v�nth �tie ardinances of the Ciry and the re�ulatic�ns of thE State of
<br /> Minnesvta, and cestifies that all sTatemen#� made on tlus applicatian aKe complete, uue and
<br /> corre�t.
<br /> Applicant's Si�atut ' ��: -,-1� I � �
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