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r . 1 - <br /> 1•`es,this section applies <br /> The replace meat of a&aiuc al l mute or a l.ialve thatmeets all thr.of(it;:f:ullowing reef+uiterneuts:. <br /> 1. hoes not req: jirc tnodiflcatioll to electrical or gas serv')ce. <br /> 2. Flas a fotfll-4kaf of$ i?tl_t}11 or leks:exgluAlp the cost of the livure or appfi3nce: and <br /> .i. f.improved,installed or replaced by Use holFicOlutier or licensed contractor. <br /> Skip next:Section,if this applies; Cost of Permit $ 15.00 <br /> State SurO lme $ 5.00 <br /> Mail-in Fee(lt Applicable) $..___ a 0 <br /> Total Permit Fee $ <br /> If above dotes not apply;follow guidelines below: <br /> 1. CONT tACT f'.RW 'is 1"'SR»of contract price with a(A-Unimum Fee of$50.00 <br /> 14. x.01 <br /> (wracaprieca (uri9tiauaniSS�,UQ) <br /> ST,AT;�:_SltC'IdRE3 . <br /> ' -------------------- x.t}ill15 N <br /> — - <br /> l't>`t'xA<;E,& HANDLINf.i(Only urt i1z<�il l;�Applications) $ ?•iii}}(1 <br /> 4. TOTAL PFRNUT FEE Ukdd Lines 1-3 Above) S <br /> ■ " <br /> CONTRACT PRICE or j011 COST means Ow actuni or esfimated dollar amount charged for the <br /> permitted work including triater.il115,labor:profit.,and other fixed cosis. His the amount to be charged <br /> to the c•ustotner lit the work done. fr arty material,equipr ew. labor or installations are furnished by <br /> the owner: tenant or ai y other party, the reasonable market value of such items must be added to the <br /> Ktintated cost or contract price for permit fee purpou-. Jo Ute event that there is a dispute: on the <br /> amount of the.job cost, the City may request the submission ol'a sitned copy of flee actual contract. <br /> -------------------- <br /> I'Yte undersivicd hereby applies to the Cft- for issua:rce of a.Mechanical Portnit,agrmi to do all <br /> work in strict accordance with the ordinances of avte City and the rrgulations of the State of <br /> lrinnesota, and cer:Mies that all statements rnade on this application are complete, true :md <br /> correct. <br /> Signature. <br /> .v ? •F'• .7r r Date, <br /> Sig <br /> Applicant's nature. �.:•�.. ...' ::....,..:;i_ �.�. = <br /> a��d 9T9D6DZZ96 :01 LZ99ZZ9£9L :WOJA WV W60 IV £T/DZ/90 :TUGS <br />