2011-00952 - mechanical - Laserfiche WebLink

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(.ug 26 2011 10: 29AM Air Quality Services, Inc 952-929-1067 p. 3 ❑ lies,this section applies The replacement of a Residential fixture or a fllianee that meets all Own of the following requlrements: 1. Doe gnot require modification to electrical or gas service. 2. Has a of$500.00orlms;excludin the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Sldp next section,if this applies; Cost of Permit $ 13.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PRICE M is 1,25%of contract price with a(Minimum Fee*r550.00) x.0125 $ :11Q/ (cormaotprlce) (mlploam 0.00) 2, STATE SURCTIAJ" C4 io � x.0005 $ (Cownr price) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERNUT FEE(Add Lines 1-3 Above) $ 72 fO -400 * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment, labor or installations are furnished by the ownor,gent or any other party, the reasonable market value of such Items must be added to the estimated cost or contract price for permit foe purposes. In the event that there is a dispute on tho amount of the job cost,the City may request the submission of a signed copy of the actual contract. U� r f,,< 19/13 The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. Applicant's Signature: ✓ Date: M- 3