|
Dec-04-2012 12:43pm From-CITY Or OROPIO +9522494616 T-o05 P 001/001 F-403
<br /> � �,�_."___— >� , „ FER�;��,T�,�`��',C.r�I.��'p '�, �QN�S) , , � 1 , ', , ,.,
<br /> .,i I. f A�y Iti.l µ l i :! !� � � �r,� � ti yti�����,
<br /> rl. �'.. Y I 'I i � `., 1 .'�.-
<br /> �j c 7��Iry (��] [��^(� �'1ry^�+^ r
<br /> �r ��Vnt I Y' �r A F�li .1J��1�7��„Q�J.�,..'.�LQVG.r3'1.'.t���'.1�11�L'�1�� - Y.._I':�I � b:'�iY�, :,iM1'-
<br /> I }�p'�n��iri 7 � �cL1. ,I �
<br /> � Yes, �his section applies
<br /> Thz rcplaccrrient of a Rc�idcntial tixn�re or appliance thac meets all tluee of the fo11ow1ng rcquirements:
<br /> 1. Docs noc requu•e modifi;,at�an to ciccnicai or gas service.
<br /> 2, Has a t.ocal cos�of��UO.QO or Irss;excludin d�c cost of ihe tixturc or appliancc: and
<br /> 3. Is improved, uistallecl or re�laced by the homco�vncr or iicznsed cona��actor.
<br /> $kip next seccion,if ihis tpplies; Cost of Pernut � t�•��
<br /> State Surcharge � ��
<br /> �' Mail-In Fce(If�.pplicable) � _ 1-50
<br /> '�'otal Permit�'ee �
<br /> .d i lf��b� � �� 'n:w
<br /> r,� �;}�.DJy��']�1�('(f'('' �E C'l�LG ° '��'���'`f C� ��-�'�TQl��l'��; .��',���,Q,�;Q�i`� ,'�71�f`.��x�"a`���a kh`�
<br /> I�1�'t4�,t'"d<< "�.� F�-rr� �3�i�.4�i-�i4�Y��4 L�I� � s J -
<br /> If above does not apply; t'ollow guidclines bzlaw:
<br /> 1. CONTR�C1'PRIC� �' i� 1.2��u oI concrac�pricc µ�ill�� (i�'Iinireusn Foo of S3�.Q�)
<br /> �gp x .0125 $
<br /> (contrac[p�cc} (n,inimum�3>.Ou)
<br /> Z. S'C.aT�. SURCH.�RG�; *"Add the State Bldg Co�le Div. Surchar�e (i�fiiitmnm Fee of 5.�0)
<br /> x ,oU05 �
<br /> (contrac�pncc) (rnin�mum� .�Ol
<br /> 3, POSTAGE �HANDLING(Only on Nlail-In Applicatians) ��.._ 1.��
<br /> 4. TOTAL PETi14'IIT I�EE(r�dd I,inc� 1-3 Abovcj � _.
<br /> • * C0�`TRAC'1 PIt(CE or 30B COST n:eans rhe acnial or estimared dollsr am�:>unt char�ed for the
<br /> pzrcni�ted�vorl:includin� materials, labor, protit, and othcr Iixed costs. Tt is thc amount to be charge�
<br /> to d�c customer for the work done. If any�mateizal, eau�pment, labor or installations are fumishzd by
<br /> thc owner, tcna�it or any other party, the rcasonable market valuc of such items rnust bc addcd co chc
<br /> estimated cost or contract priee for permiF fee puzposes. In the e��enc that thcr;; is a dSSj)CIIZ OA L�lZ
<br /> amount of che job cost, thc Ciry may rcquesc the submission of a signcd copy nf the actual conrract.
<br /> • ** Tlie STAT�.SUf:CHARGE is .00US of the guilding Dzpartment ac(9�3)3�}9-��Ci4Q for thc prica.
<br /> `,>:..',�r ':. .Yz`.��`��:,7 `�'1�� 4AN� ^ ., , ,`IT.;'�11'�LI�A�'�.C?�f'A��Z�� ' '�i�1�.,R�>-�—�' °� ;� , �.;
<br /> � .• �JF��'��� . ..;'..�`a,.!u r ,C(„r,�..( .:i:
<br /> The undersigned herrby applies zo the Ciry for issuance of a Mcchanical Permit, a�,n'ees to do alI
<br /> work in strict accordance ��ith the ordinances of the City and the re;ulations of the State of
<br /> Minnesota, and eertifies that all statenlents made on this applicatiun are complete, cnle and
<br /> correct.
<br /> Applic�nt's Si�nanire: G Dale: _ ,
<br /> 3
<br />
|