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� �_� — --����aM��r F�F c�r_,cuL r��io��s� �� <br /> [3�SED OFI� - 2002 STA I E S"I_�l'I'U .F,_ _ -- � <br /> ❑ Ves,this section applies <br /> l'he replacement of a Residential fixture or_n�liance th�t meets:�II three of thc lollowing requirements: <br /> I. f�oes not require n�ocliCe�ti�n to eleetrieal oi'��as�ervice. <br /> 2 Has�total cost of$>OO.UO or less;excludin�.:the c��st�if the f�ture or appliance: and <br /> 3. Is improved, installed or repfaced by the homeownec or licensed contractor. <br /> 41:ip next section, 1S�d�is o-ipplics: Cost of I'crmit $_ IS 00 � <br /> State Surch�u�c $__ .50 <br /> M�il-In Pcc(If��Applicable) $__ 1.50 <br /> 'I'otal Pe►•�nit I�cc �_�— <br /> - -- <br /> -- <br /> ----— – ------ <br /> PE RNI[T F'EE_CALCULATION�S) )OE3S OVCR $500�00_ __`_,_ <br /> �_..__.�_._.__—------ -- - --- <br /> I�(�ab�n�e does not apply: �ollo�v�uicielines hel�nv: <br /> I. CONTRACT PRICE ' is 1?�°/>o'f contract E�ri�b�ith a(Minimum Fee of$35.�� <br /> ��� � ��)� x _0125 9� <br /> —`�'-�r---- _—�mi�inu m'F3i(10) -- --- <br /> (�onlrucl piicc) <br /> 2 S'TATE SURCHARGF; ��� Add the State Bld�Codc Uiv. Surchar�e(Vlinimmn Fec of'S.5O) <br /> � o� ^„�c. <br /> �7 ���_ _ --x .QOOS 4�_---��--- – -- <br /> �----,-� - - . <br /> (�onus�ct��ncc) fminimum'I; 5Uj <br /> • I.50 <br /> 3. POSTAGf?&HANDI.ING(()i�ly on Mail-li�Ap�ilic�tions> �_-----__------ <br /> ti �v/ <br /> �1. Tn'I'AL PERMIT FCF;IAdd Lines i-3 Abovc) __--/�------ <br /> • �` C'ONTR�IC'T' PR1C[; or .1013 COS'�� iueans the �ctual �x cslimated dollar amount chareed for tl�e <br /> ��ermitted work includin�matcrials, I��hor, profit, anci othcr lixed costs. It is the ai��ow�t to be charged <br /> to tl�e custt�i��er for the w��rk done. i f��ny material, eyui�imcnt labor or installatioils are turnisheci by <br /> the owner, tei��nY or any other party, thc reasonabMe market value of such itei��s must be added io the <br /> cstimaked cost or c�i�traet prica for permit fee purposes, in the event that there is a dispute on thc <br /> ;�mount oP the job cosY, the C'ity may reqnest the submission of a signed cc�py of the actual contrlct. <br /> � ���' '�'he STATE SURCHr\RGk�, is .00(?� of the(3uildin�De�ptu�tment at(952)249-4600 for the price. <br /> ------�__________ __ <br /> ---- ---- ---- <br /> ---- <br /> ���i�1ECHANItAL�PERMITAPPLIC'ATIONAGREEMEN _____ _____ <br /> � -------------- -- - <br /> .-_._�---- <br /> l,he undersignecl hereby ap}�lies t� the City i�or issuance o�f� Mechanical F'ertnit. agrees to do all <br /> �,vc+r►: in strict accordance wiih the ��rdinances of the C'it�� and the regulations of thc State of <br /> Minnesota, and certifies that ��II statenaents madc on this aE���lic�tion ;ire complete, trne anci <br /> rc�rrect. <br /> ►�ate: �`����� <br /> n��plicant's �i�nahn�e: � __�--- _�.�/�-- - - — ---- --- <br /> Sf t f�1C$sn <br /> 3 <br />