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MAY/26/2015/TUE 11 ; 04 AM Heating & cooling rAX No, P, 004
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<br /> . � � Yes,tlus section applies _ ,
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<br /> The repl�ccment of a Residcntial fixh�re or ap�liance that meets all r�ee of the fdllowing reqiiizau�cnts;
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<br /> „ �, Does nvt reguire�nodificatiaA to electric�l orgas aeiyice. • ,
<br /> � 2, �Ias a t t c st nf$500.00 or less;axcl�din�'the cost.o�.�ftxttue o�appllance:and .
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<br /> 3. Ts im roved,installed p edby�the homeowncr'or licensed cdntractor. "' '� ' '
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<br /> Skaip next seci�ou;if this applies; Cost of k'exznit `$ 15.00 �
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<br /> . �� Siato Suzcliarge $�Q ,
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<br /> • . Mail-Tn l�ee(Tf Applicablc) $ : , ;SD -
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<br /> ' � Tota1 Per�nit Fee $.
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<br /> ` If above does not applY;fo�Iow guidel�es lielow. : . .`;'
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<br /> 1. 'CON'I`R�CT PRICE *is 1.25% f contract price�vith.a.(Nlinimuin Fee of�35.00).`
<br /> �����. €�t� x.0.125� � ��z'o
<br /> � , (contractprice) . (minimum$35.00) +'
<br /> 2. S'TA,�'E SIT1��G� **Ac�d the.State�Idg�ade Div.Surch�r�c(ritinfmum�'ee of$.sQ)
<br /> � �'�����+Q x,0005 $ � I .. /
<br /> . ;, ; �conhAcY ricc mum� .50)
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<br /> � P. ) �mini .�-�- .:
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<br /> 3. P,OSTAGE&HAN}��,�iG(Only on Mail-In Applications) � $ ,
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<br /> � . 4. '�0'���ERMI'�kEE(�.dd L�aes�,3 Abovej . ' � $ �' � �
<br /> . , �ONTRACT PRI�E..o `. , , ,; ;.
<br /> ' � r JOB COST meane the actu�l or ostimated dollar aznount�`Gharged �'o�the ` ..
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<br /> ' , s: peimitEed work including materials, labor,profit, uid other fixed costs. It'xs Che amount.to be c3�arged '
<br /> � . to tl�e cuetomex for the work done. If any material, equipment,labo�or,i.�stalla�io�as are fizt�uahed by
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<br /> the owuez, teziant or any ottxer parEy,'the reasonable msrkeC value of such items IIiust.be added ta the
<br /> estimaCed eost or contract price for pernnit fao pwrposes: Jn tlle evenf thAf there is,a dispute on the
<br /> umount of the job eost, the City ir�ty request flie submission of a sigaed copy of the actual co�.fract:. , ,
<br /> • **The STAT�SLTRCHARG�is.00OS o�tb,e Building Depnrtment aC(952)249-4600 for thc price. ,
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<br /> The undereigned hereby applies to the City for issuance of a.M�chanical P�rcnit, agrees to do.all
<br /> work in strict accordance with the o�rdiz�,al�ces of thc City and the regulations of the State of
<br /> Minnesota, and cerCifies that all statements made on thia application are complete, true and .
<br /> COIT�Ct.
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<br /> Applicant's Signature: Date: ,�� ��"✓ ��
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