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06/11/2015 TxU 12: 39 FAx 763 a73 8565 Sabre Heating b Air Cond �007/007 <br /> i � <br /> , , �; <br /> ❑ Xes,this seciion app�ies <br /> The repl�tement of a�i,esidentia��xtura or applia��oe that meets all three of the following requiraments: <br /> 1. oes not require modi�ce.tion to�lectricul or gss sarvice. <br /> 2, Has a 1ota1 cost of$500,00 or less; excludinu tlie cost of tho fixtura or applianca:and <br /> 3. Is improved,instxlled or rcplaaad by the homeowner or licensed contractor. <br /> 5kip next seation,if this applies; Cost of Per�nit $ 15.40 <br /> Stato Surcht�rge $ 5.00 <br /> Mail-In Fee(Tf Applicablo) �.. . ..2.00 <br /> TotAl Permlt�'ee S <br /> Tf above does not apply;follow guidelines below: <br /> 1, CONTRACT�'RICT �' is 1.25%of contract price with a(Mlnimum Fee of�SDAO) <br /> ��r���z� x.o1zs$ �oo, oa <br /> (conhact prica) (minlmum�SO.OU) <br /> 2. sx�x�����G� <br /> ��,� .�00 _X.000s � -�� <br /> (con�ectpncu) <br /> 3. POSTAGE&HANDLING(Onty on Mail-In Applications) 9i .�� <br /> a. '['OT,AL pERMIT F�E(Add Lmes i-3 Above) $ I ��•�U <br /> � • '" CONTRACT PRICE or 70B COST means tha actual ar astimated dollar smount charged for the <br /> , permittod work including mutar►uls, labor,profit,and other fi�ced costs. Tt is the amount io be charged <br /> to the cttstomer for the work done. If ony material, equipmant, labor or installations are fumished by <br /> tho ownar, tmnant or any othor party, tha rcasonable mArket valua of sudl items must be added to the <br /> ostimated cost ar cantract price for permit feo purposos. •In thE event that there is a dispute on tha <br /> �rnount of the job cost, the City may request the submission of a signbd copy of tl�e actual contract, <br /> 'I'he undersigned heraby applies to the City for iasuance of A Mechanical Permii, agr�es to do a11 <br /> work in strict accoidance with the ordinances o£tho City and ihe regulations of the Stete of <br /> Minnosota, and certifies that all stat�monts made on diis �pplication are complete, t�te and <br /> correct. <br /> Applicant'sSi�tiature� � ��_�� (�{, Dute: �,p���• zQ�� <br /> 3 <br />