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- fl'!��0912013 07:51 S R Mechanical �A��529331484 P.003l003 <br /> PBRMTT�CALCLJLATION(S) <br /> BA5ED OFF-20D2 3TATS STATU� _,_ _ __ __,_,�,,, <br /> Q Yes,�his section applles <br /> 'Fhe iroplace�uent af a litWt tu0els All thre0 oY4�e follmving t�equiramente; <br /> 1. J„�q.�,p�raquiic modificntian to electriaai ar ant urvlca <br /> 2. Has a�of 530DA0 or letf;r.celudina t�e tof�of We l3xNre or nppliance:end <br /> 3. 1:improved,inttalkd or ceplattd by che bo+ueownerar�iceueed con�rac�o:. <br /> Skip nc�t aettivn,;fil�is avplia; Coet of Pem+1� S�,�.qp <br /> 31ete Snrcharge S s.ao <br /> Mni1-!n Fee(If Appticabls) 5,,,,,,,,�„QQ <br /> TotAlPvrmltFoa 8 <br /> f� FERMI'T f��E CALC'UL,ATION(5)—JOAS ClVER SS00.00 � <br /> If al�we doee not apply;follow�uidel'mee below: <br /> 1, �ON�Rd.CTPRIC6 �iS1.�5S�60fC0itta'�Ctqii��th0(MldflpumFeeot5S0.00) <br /> �� N �� <br /> ,,,�x.0 L37 S """' <br /> (anv+caple� (mlelmom 650.0� <br /> a. sTa�.slrRcBpRc� <br /> x.0905 $ � <br /> (coMcectyriaq) <br /> 3.P09TAQE&IiANDf.iD7Q(onfy rn�Mail-In AppllcnHone} 5 <br /> 4,�OTAL PEAMIT FEE(Add Lines L•3 Above) S w 4' w �� <br /> . •CONiAACr PRiCE or JOB COST meene the ectual or astimntcd dollar amount charQed fol'the <br /> permitted wrnlc including meteriols,Lahor,prof'it,and othar fc�ad ceslt. It if tAe auloun�ta be cherEed <br /> to tLe cuetomer for the�vo�c don�, If aoy maxrial,equ{pmeut,1abOt oTlpstnlledoas ere fhrnlshed by <br /> the mHner,tanant or eny otl�ar yuty,the reacoauble mwket vnlue oF eueh i�eme must be eddad ro tLe <br /> eatimarod coat or contract priw for pannit fce yUryosel. In the eVept Ikef there la e diapute on the <br /> umwnt of ths job cacy thc Citv mq1 Y�qUdt tlle aubmission of e efgned copy of the scNel covtrect <br /> MECHATIICAL PP.}2MTT.�,PPLiCAT1'ON Ac,��EMENT <br /> The undersiuned hercby epplies m tha Ciry for issuanw af a Mechduicdl Perinit,r,grees to do all <br /> woi�k io stnct acwrdanct�Vith t�e oYflinenCea of the Ciry sqd U�e regularlo¢s of the St�te af <br /> Minneso►�, oud certlties that �11 atatemenfs madc an this applicatian erc comple[e, mu anfl <br /> co�rect. <br /> r," <br /> �l�Ipj ~' � <br /> AppIiceat�8 SIgllHIl1TG: (� "'��" DRtt: ' � � <br /> i <br /> 3 <br />