2013-01017 (Mechanical) - Laserfiche WebLink

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� ,. -- - - ____ —_ �—_.._ _ PE:R'�11"(� FEF C,�t.CL'L:�`1��1()'�t'Sj � � E3t�`��i�C7T"k� -200? STt�TE 5"i A I U E � � 1 c>.Yh;>>i�IIC�,? ;i�)4?!ic� T-hc r�;pl��cment af a R�sidcntial tixture nr a�plianee that mczts all tliree c�f thc fi�lli��in�requirements: I. D��es�iot require rn��ditication to cl�ctrica9 03�_a�;er��icr. _'. N�s a T�t<�I cc�,t��f 5?4(.�.0(i or less:c�cludin��tlic�<�st�?f the tixture or appliance: ;3nd i. I: impro��zd, installed��r replaced b�� thc h�arne�7titi�ner i>r licensed contractc�r. tikip r�e�t sectiun, if Chis�pplies: Co�t c�f Pemtit 5 1`•D�) State tiurd�ar=_=e S `.(?() `�tai1-In F'ee a�If�Appli�able� 5 ?,00 Totai Pennit Fee S FERI�4IT FFE C�E.,C:IJL;ATION(��—JC7B� O�'E�I2 $SOO.C10. - I��bCitic dt�t�ni�t atppl}: t��ll,�� iiid�(it'�'ti bc'I:��: ;. COV�7�R.�C I� PFtICE " i� 1.�'�"nofcontraetprice�citha(�tiniminn Fer€�t�50.00) .5�z� ._� x .0�� s �7 p , 3 l ---- � ,L� ,t�5ci t'-ric.i tminimum�g{}.(1Clj '. 51�:��1�F:5l KC�"H�C2GE ,..`�i�ZJ'r- x .t)005 5 ��`C3( ___ ___ —_—__. _ ,:,.�, t ��:ti 3. PUST.�GE� F{.�\L�LItG tC)nl��an �lail-In .A�.��licatiunsi � �.a0 __ -t. I�OTAL PFR>ii�1� Ft:f�: ��dd�.i«e� 1-3 _�bo�e� 5 �J.1�L. � ` (`Q�;�I lt.�\C`T PR[('E�: ar .IOF3 CC)S'T means the actual or esTimated c3olla�r ar��int ch<tr�cci fnr tl�te {��rn�itteci ��ork includira� matcriai>. labc�r. profit. atid i>ther fixed c�?�t�. IS is t}�e amount to be char�_ed ir, d�e customcr tor the �Ftark dor7e, IY�n}� m�terial, equipment, labor or i�utallatit�m are furnished f�� the u«�ner. tenant or :�n�� c�ther pr�rt}�. the reas�nable marke�l �alue of s�ch it�ms i�3ust bC �zdde� to tf�c estit�tat�d cost t�r cuntract F�rice for p�rnlit tee purpc�ses. In the e��ent th��rt iherc is a disputr on the amount af the job co>t, the Cit� ma� rec�uest the suh7iiissian ofi a �'t��ned e�,E�� at the actua! �ontraet. � MEC'Hs�'�IC�I. �'t�K�11}Z"�I'PLIC:�T[()N .4C;1ZEE?�tENT �_�._� The undrrsi�ncd t�ereb� aE7F�lies tc� the Citv for issuance c�f a '�lechanicril Permit, a�rezs tc� cio all ��rk ir7 strict accardarlcz �+�itli the ordinarlces �f the Cit}� �nii tk�� re�u(4�tic�r�s +�t' th� State of '�linnesota, anti certifie� that all statesnerzts a�zad� c>r� this application are complete. trti�e and correct. r �ppli�ar�t'sSi�natur4: _ _ ,�,�_�' __ _ Date: ... ``�T '�-�'' � _ �,,,__ _ _ __. �r_--- , , �, � �; �rt�-�' � �° ;