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05/24/2613 10:29 7637177267 CONDOR PAGE 63/63 <br /> ❑ lt'es,this section applies <br /> The replaCemcnt of a Residential fixture or an»l�ance t�at meets a11 three of tho�Follpwing rcquircments: <br /> 1. Does not requie+e modif cation to elcetrical or gas service, <br /> 2. Ha,s a co t of$500.00 or less;excluding t11c cost of the Fixture or appiip�tca:ettd <br /> 3. Is improved,ingtalled or rcplaced by the homeowner or liccnsed conEractor. <br /> Skip next section,i£this applies; Cosi of Permit $ I5,00 <br /> Stste Suroharge $ S,OU <br /> fVaail-It�Fcc(If Applicab3e) $ 2.D0 <br /> Tat91 Pcrt�q{�+'ee $ <br /> ifabave docs not apply;foltow guidclines below: <br /> i. CONTRACf PRI�E �is 1.25°Je of rqntract price with a(Minimutt��'ee of 550.00) <br /> � �QV,�V X.0�2�� �"'6 V V <br /> (Contl'�Ct pricx)�� (minimum$30.IHI) <br /> 2. STATE SUItCHARGE, <br /> x,0005 $ ��� <br /> (contract price} �_... <br /> 3. POS'fACf�&HANDLiNG(pnly oe Mail-In Applicattvns) $_„ 2.00 <br /> 4. �'OTAL PERMfT F'�E{Add Lines 1-3 Above) $ �do �� <br /> ■ ' CONTRACT PRJC� or]OB COST moaes che aotual ar estpnnated dollar amount chargcd for the <br /> permitted work including materials,laber,profit,a»d othcr fixed costs. �t is thc amount to be charged <br /> tQ thc customer for tho work dane. If any Rnaterial,equipmenik, labor ar installations arc fumished by <br /> thC owner,tenan�t or sny otlier pat4y,thc reasonable markct value of such ptems must be added to thc <br /> estimiated cost or contract ptioe fvr permiC fee purposes_ �n the evsnt that there is a dispute on the <br /> amount o�the jab coxt,the CiYy may reques2 the submission of a si�ed oopy of the Aetua[ contract <br /> The undersigned hereby applies to the City for issraance of a IV�echanical Permit, agrees to do a11 <br /> work i�n strict aeeordance with the ordinanees of the City and th.e regulataons of the State of <br /> Minnesota, and certifies that �lI statemen.ts made on this appiicatiQn are cornplete, true and <br /> corz�ect. <br /> Applicant's 5ignature: Date• <br /> �a y_�� <br /> � <br />