|
Dec 05 14 01:45p steve norgren 952-934-3743 p.3
<br /> , �
<br /> :'��ilMfl� �-�1:��� �<1L��1_;1.�'�"f�lt)'�(`�� -�--
<br /> ; R,n.c��;�) ;?!=�F _ �r�r�, c_;;��,E: � �'_'��i��._��' --_� _�
<br /> J� 14ti,i�iis s;;clio;t anpli�s
<br /> �I'he repiacerneut ct a Residenua( tix[ure or ann)iance U�at mects�ilE;!iree o;tl.c ri�ll���.in_;eq!rreme»t.:
<br /> �. Uoes rzui rcyuire i�iuditicatio��ic>clectrical or tias service.
<br /> 1_ fiL;-;t�_�f;;! :-��.�.t��F��(1n_R!)Or ECc�� �_'�t�l���{in�r ii7�; r�t��f O� ;�le f1\tU�L'C�I'2tlil�l3l1C2'8t1C�
<br /> 3. Is i3��proved,inslailed or repta�ed f�y�tfie ho�»eo���ner or licen�ed contra�to;.
<br /> .,.. .�..;� , ,:... ...,. ...`. _......
<br /> . . . Slate S'ur�h��r,� � �.Df)
<br /> l�aii-fn F'ee((f:�nPlicabl;,) �---=-(►0
<br /> 1'otal Permit �ee $
<br /> __ __ .__-----___
<br /> ----- .— _..._ --._._ _ --- --
<br /> j 1'�;IZ�,�I1�1� l�3��; l. 11��'UL,'117UN(til—.6Ut3`� UVr,K `�SUiI.UU I
<br /> I�abu�e�1�>e;s nol apply; ti�llo�v ��uidelines hclo�i:
<br /> I. l_.�lJ:�l l�.'�L.� L��'ll�ii � 1J �..�, 'li',il lii�;Il(Itl 1 ��l •���II 1 l�.��If�lM�1(clii 1 L� �et �i>.�l �
<br /> ` '' • ; .o��� � — �Cr �
<br /> �� � -- .
<br /> �ccntca:l pncc) fminmium SSU.Iip)
<br /> �. S�i:l! S'.5ll�dl.di!+[tlal: 1
<br /> l,��_— � -�°c�� �_ - �. ���
<br /> -- ru�i:trct pris! � -- �-- -- --�
<br /> s. i��i:�i.�vi�[,. •a.-��vv.,i'��v��1� � t:�i �c.lii�-�ii ,-ajij�ii...,l�vii�� -„--- --. .— -----..
<br /> �. TOTr�I,PERI�1l't' FGE(Add Lin�s 1-�:lbove) 5���� �
<br /> ..,
<br /> - i.ti�-��1�.ti,t i�i\i�i. vi Jvu �-��J1 �ii�..iii] ����ti �i.�lucii vi c._��u��a��..i uJiii:i' :iii3CiJi:t �:il"ai�:;t;(� ivi' .i,•.
<br /> p�iTnitted woj�k ifich:din� mat�rials. laber. nru(it, and other (ixed �osts. ft is iiie amounf to be �har!�ed
<br /> to the c��sEo��er !'or€he s+�or�done. [f any material. cqui�menT, labnr or installations �r� turnished bti
<br /> the�n�'ner, tenairt c>r any other party. tE�e rcasonable markc:t t•alue of such items :nust bc addec� ro th�
<br /> estimated cost or �ontrac[ price for oermit fee purpo�es. In thc ev�nf Ihat there i�ti a dic��u1�: c�n Ihe
<br /> ai7ount of the �ob ccst, the Cih may request the siibmi;sion of a si<,n�d c�py ai#h�� actual contract.
<br /> I I�tEC!IANICAT p�RM►"[� �9'PLIC'�TlOi�i r�GRr��:IviL�i i
<br /> � �_ -- -
<br /> f iiC iiCluCi.�i`.TiCu iiCi�, 4C•,, (':r•, iir•. : a-'•• �A�;,•h••••:,•,•I fJ,...._.,'. ..
<br /> �y alY��il:S �v u_�, �-��} � �a:iuu��C�. +�i u � �..��.����..�� � �.��i�i�, u`ii;�.i iii u�� isti
<br /> r. _ , __ _ . ., _ s� . - -c .,-, � '; '-_-s "•- .-- . �__:,. ..( rl.` CT;,.tC Oi
<br /> ,i. ,_ , . � �
<br /> . ,��....�v�u, ��i'�u ��-�ui�..� uiai ilii �iaiC�i➢tl]LS I?idC�� Olt i�135 �lj�[7�ICilI3J17 i�C�: COIT:�lete, !ru� dt1C�
<br /> cUiFe�l.
<br /> I f �� l�� �BTC' �'�
<br /> r"�}i�liilan�`a :�i�l�ni�l�'C: _ —
<br />
|