|
sruvN�+:�mz+J�+� ii�.a0a�� �rar�-�;I�Y t3� ORON�1 a�95�2d�d6�ii �'-U�� i�-�7U;if�tl� �m3��+
<br /> .
<br /> y, , t � tr �;;� �
<br /> , t���� �a j �MN�;�S �1�` ..;�t Sl 4� 'S')��i(���i i{li,,', t 7+^� +�2�� � ..'� ��{ j hN�,;�i[ r i �ji � ... <
<br /> r�q"��E 4W '�:,��}i 4 .� +�4 � � ��tNl��I�i�t�i����`��Y rt4� �d". P� E �.i ���''�lfix'� +{'i� � �� U ' 1 � �'M17y� I a���� �{4 i���y�,�',{
<br /> 3 � t u� �t a � r� '�, t � ; i� ��S��iul ��� Sx���tit r� ( -
<br /> If �,�; � ,�'�� I>> a 1 � � i iy�l�t r�` i � 9v � ,�p �s ul"y�r4�d� r n " � � ' ���r { .
<br /> 1n�tl;l�i � !n�_� � � � r '� ��' �, , i�� 4 t I k q11 ��
<br /> ' I���
<br /> .�t� ,� _ a
<br /> ����opp.,��l' �'��d i '�� r��1� ! �ti� �..��I� , ��+�i� ����I�t ��W�� 1 I, t�I! M1���,, I
<br /> _ - ��;.� ��.����r�',����<��,,,�,�_r ���,�i�.�� �i������d�� �11,���i�a
<br /> ❑ �`cs, Thi�s�ciic�s�.:�p�Yirs . .
<br /> Tbe replacexnenX�f a Reside,�o�tia
<br /> � fixtnre or appliance t�at�eets all thrme of the fol�Qwartg reqnireme�nrs:
<br /> l. DoCs n4t raquirc maodi�c:ation ta electrical�r
<br /> ga3 sorvice.
<br /> Z. Has:�total cost of$SaO,qp or Iess;�xc udin ihe cast afthe fixiure or apF>liance:�nd
<br /> 3. Is i�x�roved, installec�ar repiaced by�1,e humeowner or liccnsed connactur.
<br /> Slap aexc sccrion,if ch�s�pplie�; Cose of Pernnt
<br /> $_ 15`�l
<br /> S#ate Surcharge $ .50
<br /> iLiail-In Fee(IfA�pplicab]e} $1.50
<br /> 7,n�ta1 Pertnit Fee �
<br /> ',� ��s�u�;":�� �,'�ari��,
<br /> �?°4�4�,,� 6�i1;�1,�„�1��11fi.
<br /> lrf above does not appiy;follow guideli�es beiow:
<br /> 1- CONT�.ACT 1'RIG"E *is 1.2�°10 af con�act price with a(Minipnum�ec:of$3�.a0)
<br /> ��1�� X.o��s�����
<br /> {cQnte�cc price) (mmirnum 835.00) "�
<br /> 2. ST.�TT�'SLT12CIir�T2GE "'* /:�.dd th�e Scate Bldg Code Div.Surch�rge(]bliidmnm Fee oP�.SO)
<br /> -1��. ��� --x.UDOS � �'�� .
<br /> (canrractprice) (rr�mimum$ ,SU)
<br /> 3. POS7'A('irE 3�IiAI�DaGI1�CG(OnIy on Mail-In Applicgtious) $ ] SU
<br /> 4- T�TAI,�*ER14iC'1'��(Add Li�xs 1-3 Atwve) $�.L���L.� -
<br /> �' * CONTRACT PkI�B ar JC?B �C1S`T' rneans tbe actuaI or estimated doIlar $anocr� eharged fnr zhe
<br /> permitted work including ma�erials, la�aos,profit, aud orher fxGal costs. Te is the am.�unt to b�charg�,�i
<br /> to rh� custc�mer for the work don�. Lt any m�t�rial, equipmenr, labor or inscallatia�is are ftu�►isbed by
<br /> ti2e owner, tenant or auy utl�er parry, the reasonabte m�rket value of such it�ms m��sr be���d to ti�e �
<br /> estimated cosi or coni�ssct priee fox'permit £ee pu�pQses_ In rhe event ihat there is a d.ispu�tc on rh�
<br /> am,ount of cbe job cost, t.�e Ciry may zrqnest the S�tbmisgiQn of a signed eopy ai tfie act�xl cvnrract.
<br /> • ** The ST'A1'�SUI2CHAl2GE is A045 of the�uilding Depaitment at(952)249-46f1U for ibc priec.
<br /> `���:�itr�:p�;.-at ,.� ,, ,�.
<br /> 1 i I.,�
<br /> 7'he undersigned h�reby a�plies c�ti9e�ity�'ar issu�nce pf a M�eh�ical�''�rn7i�, agrees to da alI
<br /> work in strict accord�nce with th� ordin�r►ces of the City and the r��Iations �f the State a�'
<br /> Muu�esUta, and cerrif�es that �ll te�ne t e on this licat�an �re con��plete, true xnd
<br /> LGzrect,
<br /> Applicant's Signazure. D�te: � �
<br /> 3
<br />
|