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_ _ __ _- <br /> ___ __.___ <br /> --- --- —--- ----- - ---- ------- <br /> � � P1=.R?�'[IT FE�L C.�' Cl1LA�T'TON S) <br /> j BASL.D OFF 2Ull? �T':�TE S"CATU�--- - ---� <br /> � l�rs. thi.:ccuon �ip��li�, <br /> �I�li� r��ilac�m�nt ul a I_2�_,iii�nti;il [i�turc_�n�a���li_�ncc that mr�t�ull thrc���i ti�c I��llu��°inu rc��uir�m�nt�: <br /> !. T)uc,n�it rcquirc moditicatiun Cu cicctrical or�.0,cr��icc <br /> ' I ia;a tutal ci,:t��f S�OU.U(I��r leti�: e�clttdinL th�cost u��th� tiru�r�or appliancc: an�i <br /> ;. l; it����r�����I.in,t.tilcd c�r rcplaccd bv thc hot��cuw�n�•r�,r liccnacd c�ntract��r. <br /> �kiE�n��t;�ctiun. if�thi>ap��li��: Co�t ot Pct�nit S --- 15 UIl <br /> SL�itc Jur�liar«c �__ �._(10 <br /> � <br /> \tail-{n F�cr(I��,��(�licahl�l � _ __(1(1 <br /> T��tal Pcrn�it Fec �-- <br /> - -_--_--___.__-- - _------- ------- --- ------ -------- _ . <br /> ' PERiV1IT FEE CALCULATTON(S)—JOI3S OVER �500.00 _ __i <br /> If ah���c d���s n��t ,i����l��: ti�ll����,�uidclin�s b�l<m�: <br /> i COV'"1�12AC"I� 1'FiiCE �� i; I.��°��uf conu�act price ���ith a(�linimum Fcc uf�,�O.UO) <br /> '��� �� 15 ,� s .OI�; S _ ���_�'�__ <br /> li�mtract��riccl U��inimum y�0.1111) <br /> �. 5"I��"1'F.Sl'llCfI:�12Gr. �_ �� �13�-15�___ . .cuw� �— — 5 ' S�_ _ __ <br /> �;�,:.��.«�;,:,�,� <br /> �. POS"1�:1C�}.� I I:�\l�l.l�i(� (()��ly un �1�iil-[n ;�pplicati<ms) �-----'-.U(1----- <br /> -1. ��U�1�.11, PH:RIIIT FF:F. ����3�1 Lines I-? :�ho���l � ��� � �� — <br /> . �' (�OV"I R:�(�T I'RIC'L. ur iO13 C�OS�i incan> thc artual ur ��timatc�i �1ull�u� znnuunl �h�u��cd ii�r thc <br /> ���nniuc�l u���rl: incln�iin�_ matcrial.. I�ih��r. proti[. an�l ��thrr il�:rd c��,t,. It i. thc amount t�� f�c rhurg�d <br /> tn thr cu�tum�r ti�r ihc work dune. Il�anv nuucri.�L �yuipmcnt. labor c�r inst,ill�iiiun� ;�rc �urni�hrd h�� <br /> ihe u���n�r. t�n:int or an�� rth�r ��art�. th� rcasonahl� mark�t ��ali�r ut;urh item; mu�t bc a�1�1cd tu ihc <br /> �,titnatccl cu;t ur �onuact �iric� (i�r F�rrmit I�r� pur��u,�,. ln th� ���rni tl�at ih�r� i.5 at �!i;��ut� ���n ��lir <br /> amount ��f ih� j<�h ���;t. thc (�it�� m<i�� r���uc,[ thr >ttbmi„i�m ��I ;i ;i�_nc�i cop�� ��i thc actual c��ntrtt�t- <br /> — ---- ---- ------— <br /> --- ---- ------ --, <br /> � �: M]�CHANIC.AL P�ERMTT APPLICATION AGR1 F ME _� ____ i <br /> �i hc undcr;i��n�d h�rch�� �tpF�lic� tu lhc C'it�� t��r is>uanr� ��i�a Mcchanica? P�rmit a!�r�c; t�� �io ��ll <br /> �����rl. in �n-ict accordancc ��ith th� ur�linancc� of th� Cit)� an�1 thc rc;rul�i[ion� ��t� thc Statc ��f <br /> ��1inn�sota. �incl ccrtifics that all �tatcmrnt: i��a�lc ��n this a�i}�licatiun� arr ruin��i�tc. trur an�i <br /> cin�rect. <br /> � ��) < � ��- - <br /> �����li��int�s Si��natur�: _ _._—---- Datc: <br /> > <br />