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03-04-13; 11 ;40 ; FrOm;TOnkaPlUm ing T0:9522494618 ; 9524729220 # 7/ 7
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<br /> "2002�STATE°'ST�;TUE�.: ��� .p�;, ,,� ., ,
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<br /> ❑ Yes,this secrion ap� 'cs
<br /> Tlie r�plac�xn,eni of a ' e ' e o'r s I'aaee t1a3t ineets all three of thc following requlcelTten[S;
<br /> 1. TLQ�s_not zcquire mo catiou te electrioal or gas so�vxco,
<br /> , 2. Has az a eost o�55 0.00 oi lese, excl,�,_uding fl�e cost p�'the fixtu�e or�ppliaztce� a�ad
<br /> 3. Is iz�apzoved,i�u� lle r replaced by tlte I�omoo.�mcr or licensed co��ac[or.
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<br /> Slci�nexc sectno�, if '�applies; Cost af pormit $,_ 15 QQ
<br /> State Surcharge $�Q
<br /> � Mail-In Tcc(It'A�plicablc) Ti�5�(
<br /> Tots�l�ermit�ee �
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<br /> '���� � �� •PERM��.FEE;CAtiCY:I']'%A:TION,S�'"=�JQBS�:OVEz2$S.00.QO� �
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<br /> If above does i�ot apply; 1ColZow guidelines below:
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<br /> ' �: N PRxCE �'is 1�.25%of cont��ct prico wiHx a(Mfnimum�ee of$35.00)
<br /> �� OO� •� � x,0125�
<br /> j � (cOn actprice) (mini�um�35,00)
<br /> � _ _._ ._ . __. .__.. _ _- -.._ ._
<br /> 2. STATr SURCHARGE *'"Add clie Siate Blflg Code�iv,$urcharge(Minimum�'cc of$.SO)
<br /> � �
<br /> ' x.0005 �
<br /> (conU�uctprice) (minimumS .50)
<br /> � 3. POSTAGE&HANDLING(Only ozx Mail-In Applications) $ 1_50
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<br /> 4_ T� AL PERN�IT�'�E(.Add'Lines J,-3 Abovo) $
<br /> ^ *.C�lv'I' CT�RZCP or JOB COST n�eaus che actual oti cstimated dolla� alno�ut[ cl�arged fox tlxe
<br /> �ernrittefl w rlc including materials, labor,pro�t, and other fixed costs, It is the ar�notiuit to be cl�azged
<br /> to rhe cusco.r�acx for the work done. Xf aary material, equi�moiat, labor or installations are��,,isk�ed by
<br /> the owne�•,t�uant or any other party, tho xeasoriable mar�Cet value of such iCezx�s must be added co tkze
<br /> estimated eqsY or con�ract price fox parn�it fe� purposes. In thc cvent tl�at there is � dfspute o17 t17�e
<br /> amou�t ef the job cost, thc City may iequest CI�e submission of a sigaed cv�y of the actual connract.
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<br /> -'- �'' Tb�e S�CATE SURCHARGTs is .0005 of tlie Building Depcutmcnt at(952)249-�600 fbr the price.
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<br /> ' � � � � ' m��c c�.��T��.�PLrca�rzorr���E��� �4 . • � �
<br /> Tl�e undersigned hereby ap ies to the Ciiy for issuance of a M�chanical Pennit, agt�es to do ai]
<br /> worlc in striet aeeorda�,ee ith $�e ordinanccs of tl�c City and tl�e re�uaatioras o�F the State af
<br /> Minnesota, and certifics tl t all statcir�cnts made oz� th.�s applieation mre eompiete, true and
<br /> corrrect.
<br /> Ap�lief�n�'s Signature: � 17ate; �
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