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�'��'���'I' F�� �A,s,��JE..�,'�'I�?�s�� <br /> 2002 State�tata�te ❑ 5�'es '�'his �eetion�.�3piies <br /> The replacen�cnt of a Re�idential fixture or ap��liance t17at meets aIl three of the followinU requirements: <br /> 1) Does not require modification to electrical or gas sen�ice. <br /> 2) IIas a total cost of��00.00 or less; excludin�,?the cost of the fixture or appliance: <br /> and <br /> 3) Is impro��ed, installed or re�laced by the homeowner or licensed contractor. <br /> Slcip next secfion; Cost of Pennit $ 1.5.00 <br /> Stai�e Surcharge$ ,50 <br /> �iail-In Pee $ l.50 <br /> If abo��e does not appl}�, fo11o«�guideIines below: <br /> �. �'�rar,.•��� ?��-a���* as .0125�0 of job v,�itll a I�'�ir�pe��um ��ee �a�(5�35 ��) <br /> �-, , <br /> �' ;�)` x .0125 �_ -�1'�; �, <br /> ,contract price) (minimum 535.00) <br /> ?. State Sea�-ck�a:�e. ** Add the State Buildil.ze Code Division a 1�'�ir�i�num �'ee of'(�i Sp} <br /> i ,� ,� <br /> ���-'- 1 .0005 �; ;1; <br /> (contract price) (nvnimum,�'o .50) <br /> �. ��€�staae a��c� ��aa�c�iir�6 (��id��hiail-i:: r�p�Iic�ttio�cs} �; � <br /> � <br /> 4. 'I'O'�'�.� ������' ��� (Add lines 1-3 above; � -�<j_� ��' <br /> �CO1�TR.�rCT Pf�ICE�o;JOP,COST mearl;t11c ac;uai or es�imated dolla,an�ount.charged for the pern�itted w�orl:includirig <br /> materials,labor,pro:�it,and other f xed costs. It is the amoimt to be char�e�fo tne customer for the�vork don�.tf ariy material, <br /> equipment, labor,or inst�allation is furnisrie� Ly the own:r,tcnant or any othe�r party thc reasonable market value of s�ich itcros <br /> mus?be added to the eseimated cost or contract price fo;permit rce purposes. In tlie evert that there is a disputc on t5� amount of <br /> thejob cost,the City may reques�the submission oi:,signed eopy of the actual contract. <br /> *"`The 5T,�,TG SURCAIARG�is.0005 of ti�e:conhact price under;�1,000,00G or�.50-whichever is greater. For valuations over <br /> �],000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mcchanical Pcrn�it,a;rees to do all v✓c�rlc in strict�ccordance���ith <br /> the ordinances of the City and the reeuiations of the,ti5inncsota State Building Code,and cei�tifies that ali staternents made on this <br /> application are compiete,tTue and correct. <br /> t <br /> � Applicant's Signahire: ��� ��,-- _ Date: •_-�'� - <br /> Approved By: Date: <br /> � <br /> , <br />