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1 19/2009 09:94 9528811558 WENCL SERVICES PAGE 04l04 <br /> � . <br /> � <br /> 0 Ye�,this section appiies ' <br /> The replacement of a�esiderrtial fixture r a�nliance tlaat nneets all three of the fvllowing cequirements: <br /> ; <br /> 1. ;D es n require mvdi�cation to electnical or gas service. <br /> 2. ;Has a t ta co t of$500.00 rnr less;sxcludinQ the cost of the fixt�ue or appliance:and <br /> 3_ I Is improved,installed or replaced by the horncowne�r or licensed coritracto�. <br /> i <br /> � ;Skip next section,if this applies; Cost of�eRrtit � 15.00 � <br /> State Surcharg� $ .50 <br /> Mail-In Fec(��A,pplicable) $ 2.00 <br /> , i �'ota�Perntit�'ee $ <br /> � - <br /> I <br /> i <br /> if above doe�not apply;follow guide�ines below: <br /> i <br /> 1. ;CONTRACT PR,�CE *is 1.25%of contract price with a(Minumuiooi k'ee of$S0.00) <br /> '� ` �5� �o . o-a <br /> ' � x.0125$ <br /> ! (���D�) (minimum 530.00) <br /> 2. ;�TE SURCHARGE **Add the State Bldg Code Div.Surchatge(Mini�um Fee of 5.50) . <br /> I <br /> � �.0005 $ • �� <br /> . (conuact price) (minimum S .50) <br /> i <br /> 3_ POSTAG�8c HANDLING(Only on Msil-faa,A,�plicatians) $ 2.00 <br /> 4. �OTA,L�ERMiT��E(A,dd Lines 1-3 Above $ �a ��� <br /> � ) <br /> ; . <br /> ■ '� CONT,RACT PRiCE ar JOB COST means the actua] or est�im�ated dollar amownt c�►arged for the <br /> permitte�work includiung materials, Iaboz,profit,and otk�e�r fixed costs. It�s the arnount to be chazged <br /> to tkae cu�stomer fo�the work doae. If any materia�,equipment,labor or instailations are fumished by <br /> the own�r,tenant or any other party, the reasonable m�adcet value v�such items must be added`.o t1�e <br /> estimate� cost or conbract price for permit fee purposes. In the event that there is a dispute on the <br /> i amount of tlae job cos�, the Ciry may tequest the subtptiss�on of a signed copy of the aetual contraec. <br /> � '"*'It�e S'TATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for tlae price. <br /> � <br /> The undersipoed hereby applies to the City for issuance of a Mechaniical Permit,agxees to do all <br /> work in strict accordance with� t�e ordinances of the City and tlae regulations of'�te State of <br /> ��npesota, and certi�es that all statements nnade on this application are complete, true at�d <br /> cotrect. ! ' <br /> ; _ <br /> � <br /> Applicant's�ignature: I Date: � q <br /> .�,,,.,, <br /> ; <br /> ��;i,;�, 4 e��' �! I1� <br /> ;M����� <br /> 3 <br />