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06/06/2012 10: 44 7634773338 HIGH ROAD HEAT COOL PAGE 64/05 <br /> � � <br /> 'i � <br /> �! <br /> � i <br /> , <br /> i <br /> i <br /> S :.: `: <br /> , - . <br /> ;.. ..;.; <br /> ..:..... . ' <br /> � , :... <br /> . , <br /> . <br /> , . <br /> �. , <br /> , <br /> � <br /> E. ' : .., : " ' " �` <br /> A <br /> , .... .. . . <br /> SED Ok'F::-2402��#�TE:�TAT[:7E�-:: .��:: :.�� <br /> � � <br /> ; � I�- I � <br /> ! [] Ye�,this se�on aPPlies ! <br /> � ; ; Thc teplaccment af�R psidcnl��l_Gxturo ar ap iancc that mncis all three of thc fnllowin�requitemen�s: <br /> 6�a'i. � <br /> i i I <br /> 1, e.g t requirc modifGation to electrical or gas scrvice• <br /> ! j 2, kl�s a t st f 3500.00 or les5;ox�ludinrt thc cost of thc fixturc or nppliances and <br /> , I 3. Is imp�oved,inst�alled�r replaced by the homernvttec or licensed contractor. <br /> i � Skip n�sectio�,if this applies; Cost pf Pcrmi► $ ]5. <br /> ; � State Surchargc ��� <br /> Mail-In Fee(If Applicable) $ 2.Ob <br /> i i TotAI PermiC k�ce �_ i <br /> � <br /> � ' ItMIT EE CA1-CULi4TION S .,-JOBS OV"E�R-$�00.0(� : ...,;::::'. :, `:��;:::.: <br /> , !f above does not a�p�y;follo�v gUidelines below: ; <br /> � j �, N� T E "is J.25%of cvntract pcicc with a(Minimum Fee of 550.00) ' <br /> ; I � � x.0]25$����- <br /> (wntr;tct price) (minimum S5U-110) <br /> I I <br /> I 1 i <br /> 2. TA E RG 'E ��j � <br /> ' ' "{ �� �x.0005 $ C v - -. <br /> � � (com�uct pri�) <br /> � <br /> ! I 2.00 <br /> 3. POST G[�& NDLINCr(Anly on Mail-In Applications) $ <br /> � ! 4. TOT PER FEE(Add i.incs 1-3 Above) $ ' � , <br /> ! ■ * CONTRAC7'PRIC� r JOB C:U5�1' mean5 A7e ac�ual ur��tLiaatcd dollar nmount chRrged for the: <br /> � permittc,d wor ineludin macerials,labor,proFc,and o[her fixed costs. It is thc amount Lo be�chasged <br /> to thc custom�for the�vock dona l.f any material,equipmcn[, fabor or installations ate fum�shed by <br /> the owlner, tcn�ant or an�other patly,thc reasonable markct value of yuc:h itcros n,usi bc adddd to thc <br /> estimated cos or conttflct price for pcnmit fee purposcs. In thc event that there is a dispute on the <br /> ; amoimt nf�], jab cost�the City may request thc submission of a signed oopy of the actual bonbscti. <br /> � <br /> � � <br /> � � <br /> I ;` C�i.All'�11C���RM1T`A�'PT:IC�►:'�'�ON�AGREE�El'�l'�' : � � � ,�; <br /> � <br /> ; <br /> I <br /> � to do all <br /> I The ur�dctsigne hereby plies to the City for issuance of a Mechanical Penmit, agrecs . <br /> ; � work itt striet a eordanc� with the crrcli�.�a�ces of thc City and the regulations of th� fitaYe of <br /> ! ` Minnesata, and certifies tbat all statements made on this application are complete, true and <br /> c.�rrect. � <br /> A ticarit's Si atu � � -���L Date:. ��t�L� <br /> NN g <br /> ._._... ....-----�-- ...,.._........ <br /> � I�es�et F �1ri , <br /> . 3 � <br />