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-_ .__ <br /> �:�-; _.�r:,:r ��,.�_,._.�, - - - <br /> _ - �� c <br /> �g 4y r: . <br /> �t <br /> ❑ Yes,tY�is section app]ies <br /> �e replace�ment of a Residential fixtuze or appliance tb,at meets a11 t��zee of tk�e;Followiz�g rec{uiremez�ts: <br /> I. oes not z�ec�Uire maciz�Zcation to e�ectzical or gas se�vice. <br /> 2. T�as a total cost o£$500.00 or less;exe ud' the cost o:Ftlie fixture o�appli�ce:and <br /> 3. Zs unproved,u�stalled oz�xeplacod by d�e homeowz�er or lic�nsed contracto�. <br /> Skzp z�eat sectiozz, zf tlus app�ies; Cost of Permit $�� <br /> State SuXc�arge $�.(�0 <br /> Mail-In�'ee(If Applicable) $_ 2_Op <br /> To#al Perm�t�Fee $ <br /> ��aUove does,not appiy; tollow guideliaxes below: <br /> 1. �ONTRAC�'PKYCE *zs 1.25%o�contract price with a(1VTir�iionum Fee o�'$50.00) <br /> 2000.00 x:o12S$ <br /> (conaact price) (minizuuiop$54.00) <br /> 2. ,STATE SiJ�2CI�RGE <br /> — 2000.0o Y.000s $ <br /> (corrir�ct przc�) <br /> 3. �OS�',�1,G�&H q_,���,ING(Chaly on Mai�-�za,r1.���licat�oz�s) $_ 2.00 <br /> 4- TQ'�AL P�Kl�'���'FEE(A,dd Z..ines 1-3 Above) $ <br /> ■ * CONTRA,CT PRIC� ox• JO� COS� means the actuai ar estzz�ated dollar amount ck�az�ged for ttze <br /> pez7naitteci work zzxclud'utg materzaas,labor,pxo�it,and othex fixed eosts_ Zt is the a�zzou�cat to b�cbarged <br /> to tk�e casiome��or the w-ork done. If az�y x�ateriaf, eqwi�znen�, laboz or instal�ations are fum�ished by <br /> . tlie owz�er, #enant or az�y other party, the re�sonab�e zuiarket value of such itezvs must be added to the <br /> estiAraated eost oz contraet pnice for per�z��t �ee p�u�poses. in the Ev�,z�t �hat t}iere is a clispute on tne <br /> amotmt o�t��,e job eost;tlae City naay �rec�uest the subznission o�a si,�ec� copy of the aetuaa eonCract_ <br /> Tlze uz�dersigned k��xeby a��lies to tlie Ci2y for issua�r�,ce of a Meck�anical �e�it, agrees to do al� <br /> woz•�C ;it�; strict accorda,nce with the ord'u�ances o�tk�e City az�d the regulations of tlze State o� <br /> Maz►z�esota, and eertifies that afl stateztteuts z�n,ade on this a��lication are complete, true az�d <br /> correct. <br /> Applicaz�t's SignituXe: Dat�: Q7/07/16 <br /> -, <br /> � <br />