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JAN/29/2015/THU 03: 39 PM Heating & cooling �Ah No, P, 004
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<br /> � y ' l`4'x.)rtij�e'�k—�4,�1'nyC��3'V �� �µ9"� y p '.t rry': n.,�� ' �f�,�i'lc,.N `� r.�1S o ��� t ��d`� � 1 � 'tt�l . � .
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<br /> . . � '�,�k'�y i�tl,,.t'�'i,`7� :$�{� i+�irt�f!dt;:�GZti����,a. ;���ss�.'`-'�.������r4��� i�__'4+�u ,_p�"G�n�,W"�� �r��41�`���j1371:'i
<br /> , �] Yes,tltii.s scction applies ,
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<br /> : , . �tJazee of#he fallowing requiremcnts:
<br /> The replacement of a Itesxdenrial,,�,,�xture oz apphance that Lneets al
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<br /> ];:. .Doea not require tnodificahon to eleptricel or gas�ervice. ' ,, ,. _ �
<br /> 2: Has a total cos of$500 00 or lesS, �clu ' the cost of tl�e fixture or appllance .and '.
<br /> ' 3. I5 izn�rovad,installcd or rcplticod 1�y tlz��omeovvn,cr pr:licensad'conlza�tvr ` ' ''
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<br /> , ' Sldp next aeGtion,if this applies; � Cost of Pernut'.: �$_;,,�Q,Q
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<br /> , S�te SuxF�T�� r... $ . :50 a ,
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<br /> Mai1-Tn Foe.(T�AppY�ca�la) $ 1.5�.
<br /> Total Permit�'ee $
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<br /> � ' � If above floes�ot'a�ply,follow guidelines below ��''� � •'� �,�, ` ��
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<br /> 1, COI�TRACT PRICL� "'is 1;:�5°�0 of contrsat p�tco with�(Mini�num T+ee qf$35 00} �` +�
<br /> �.-,_,,�- t�7] �,:0125$ ��'�`���� ;'. ' �
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<br /> , , ,, . : ; ;°' '.;•(coAtract price) .. ,'�TClinimum�35.00) r
<br /> 2. STATE SUR�HARGE **Add the�State Bldg Gode I7rv Sutcharge(Minimum Fee,of�:50) ':;,
<br /> . � � �o`�� �.�c.aoas � :,�'�� ��� ,; ;
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<br /> = (contraccpr�Ge) . (m�nimum$ .5Q)
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<br /> 3. POSTAGE&HANDLING(Only on Mail-Izi Applicationa) $ � . �I,50 �
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<br /> 4, TOTA����I'�k'EE,(Aiid�.�nes 1-3�Abovej , $' � ���� '"' .
<br /> NTRACT PRICE.or J the actual or estimated dollar amotrnt char ed f �.
<br /> . . , ; * CO , � OB CaS'�' means g or the ,, ;
<br /> � per�,i,tted work includiug maeerials,labo�r,profit, a�ad other fixed�osts. It is the auiouzit#o be c1�ar,,ged `
<br /> to th�customer far the work done.'If any maEerial, equipmen�,iabar or installatians are furnished h�y•
<br /> �. , the ov✓ner,tenamt oz�any other party, the xeaso�uble xnarket.value of stich item� must be added to the '
<br /> � � � estimated coat or con�raot price fox peraiit fae purpases, In the e�eut that these is a dzspiite'on th�. :
<br /> � amount of tlse job cost, the City may request the submission.of a signed qopy of the actual contract: :: a „' �
<br /> The$TA . _. ,.
<br /> � ** TE SCJRCH.4RGE is.00D5 o#'the�ualding Depaitment at(952)249-4600 for the price. �
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<br /> T'he imdersigned hereby applies to the City for issuance of a Mechanical Pernlit, agrees to do all . . .'
<br /> work an strict accordance with the oirdiz�az�ces of the City and tl�e regul�tions of,the State of
<br /> Minnesota, and certi�es tha� all sCateYm�nts madt on this application are complete, true and
<br /> correct.
<br /> Applicant's Sigriature: Date: � /6
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