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. . � <br /> � <br /> �'���'� �'�� ���,C'�1�,A,'FI��(S) <br /> ZOd2 �fa�� �ta�u�e ❑ �'es'Fhis Sectian��p�aes <br /> Th�re�lacement af a P.esidential fi�;ture or- appiiarice t1-iat meets all three of the followinb requirements: <br /> ]) Does not require modification to electrical or gas ser��ice. <br /> 2) Has a total cost of.�',�00.00 or less; excludin� the cost of the fixture or appliance_ <br /> and <br /> 3) Is improved, installed or replaced b}�the homeowner or licensed contractor. <br /> Skip next section; Cost of Pennit $ 15.Op <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follo«�buidelines below: <br /> �. ��r��s-��t�'�-��°e� as .0125"ro of job v��ith a ?�pn6rs�um ��ec ��'(5��5 Of3) <br /> -� <br /> ��lrC�c�` �?-� x .O125 S �`�. C.� <br /> (contract price) (minin�um�35.00) <br /> 2. �t�t� Sur���r��, �* Add the State Building Cc�de Divisior� a i'�inflm�n� �'e�og(; ,g�} <br /> -�(c��:><�- ;� .0005 � ,�C, <br /> - , , <br /> y <br /> (contract p�ice) (minimum� .50)� <br /> �. �'€�s�a„�e ae�c� ;�=��a�c��i�Q (€�rtlk raarcii-�tt r���I�e�rE�i��r�s� �; _ .`� <br /> 4. �'�'�'�� ���'����' ���' (�dd lznes 1-3 above} � ��_�; <br /> *CO;��;TR�'��CT PRtCL~�o;,JOY COST means the ac�u�i or estimatec doliar amount ci�arged for the permi±ted v,�ori<incl uding� <br /> n�aterials,labor, profit,and other fixed cosCs. I�t is the amount to ue chareed to t7e eustomer for the worlc done.If any iriaterial, <br /> equipnient, I<ibor,oi in,tall�t�ior�i is furnished by the owner,tenant or any other parry the reasonable nlarl<et value of such items <br /> must be added to Yhe estimated cost or contract price for pem�it fee purposes. In the event that there is a dispuYe on the amount of <br /> thejob cost,the Ci[�y�may request�the submission oi a si�n�d eopy oi the act�uai co;�itract. <br /> **The STATL SlJRCH�RGE is.0005 of the contract price under�1,000,000 or$.50-whichever is greater. For valuations over <br /> n 1,000,000 call the Department of Inspectional Ser��ices for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pen7�it,agrees to do all wor]<in strict accordancc with <br /> the ordinances of the City and the re�uiations of the Minncsoca State Luildin;Code,and certifies that all statements made on chis <br /> application are compiete,true and eof�'ect. <br /> i <br /> L ' <br /> I�.p��licant's Signature: /�'��,�,c�/c, y � <br /> Bate: ������ <br /> Approved Ey: Date: <br /> 3 <br />