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7.D/20/2008 �f01N 14: 08 P.Ax 612 822 5408 .AJ.' e Mle�etez 1Plumbi�mQ �002/003 <br /> � . �-. <br />� <br /> .. <br /> . ' <br /> ;lii�!�'i,l�fq��; ;aii����t �:�tlm�������Bb����►S �Q� �h��;�,,, y�,��, �{�[•�y� J ��': , {��``` :� ,. � j``�'' � <br /> � "'`-'1 ux c t <br /> ❑ Yes,-thiu scction appli�s <br /> i <br /> Thc replacet�nt vf a Rcsideniial fi:cturc or ap hR'si;ce that m�ts all thrcc of thc following rcquirarrwnts: <br /> I1. Does not rcquire modification to clectrical o�gas scrvice. <br />� 2. ilas a f�of$300.U0 cnr Icss;cxcl�dinQ the cost of thc fixture or�pp�;aa¢e;�d <br /> 3. ls imptovcd,in�lled or r�placcd by ihe homeowrACr a�liccnsed contra�ctor. <br /> Skip next scction,if tliis applizs; Cost of PeCmii $ 15.00 <br /> Statc Surchargc $ •5A <br /> M�il-In Fce(Tf Appliutble) S 1.50 <br /> Tuty1 Permit poc $ 17.00 <br /> � '• �i*�•����r ik ���n1 ��1�{•�4�1:'�' A:9 ' ` 111i11d1�� � •Gr *r u • ,,,y�'�r` 4 <br /> • Tf above d�cs not apply;follow guidclincs bclow: <br /> 1. CONI'Y2ACT PRICE *is 1.25"/0 of o.uatruct price with a(Mfufmum Fce of$35.00) <br /> ` �DO•('O z.O1�5S <br /> (conaac�P��) (mmimum s3s.pm <br /> 2. STAT�SURCI�A ItCk: '�*pdd tha Staie 131dg Codcs Div.Surcharge(MioimWm Fcc of 5.50) <br /> _ x.0005 $ <br /> (oon�racl pria) (minimum S .50) <br /> 3. P05TAGF,&11ANDLING(nnly on M�il-la Applications) S 1.50 <br /> 4. TOTAL PEItM1T FEE(Add Lines 1-3 AbovC) S <br /> ■ '� CONTRACT PRTCE or JOB COST mcons thc tic[uol or estimated dollar arr�owl[eha[,ged fa[thc <br /> permitted w�rk incladi»g mal�risla,labor,proFt,ond ot,her fixcd costs. it is tl�c amount to bc charg�d <br /> to the cuslomcz!'or t��e work clonu. 11'any material, equipmc�t,labor or iniatallstions s►Co furnisbecl br <br /> the owne�c,I,�nant or any othec p,�rty, thc rcasonable marke��aluo of such items muyt be added to Lha <br /> cstimated cost or contract price foc pemma� Ccc purposes. !n the evant that there is a dispuce on the <br /> amo�mt of rl,e job co�t, thc Ciry may idquest thc submission of a sti�neQ capy of tbe acbual contract_ <br /> ■ *+Thc STA'1'L SURCHARCsE is.0005 of the Building Department at(952)249-4600 fOr the p1'ICC. <br /> ��i,,�' 'H".��,;'�fj�' •, "'FqWY.IC+\'.'��1ArA %��r,l, t'� " ,1'r ' , n,�'1�I;�b�� <br /> The uncic.�rsigncd licrcby xpplics tv tliv City for issuance of a Meel'lanieal pc�mit,a�*Tecs to dp�1 <br /> work in stric� necordance with thc ordin�ces of the City and the regula.tions of ihe Stalc of <br /> Minucsota, and ccrtifies that all statcmenu made on this app�icat�o� axe eomplelz, true and <br /> COYYCCI. <br /> � � <br /> Applicant's Sip.11aiure: Datc: �a03/08 <br /> ;•rt k�� •:.� 1�r:r.at'� P••'+•i i �.... � ��� 1 ���y . <br /> ``�::�'�.�t;-.�e�: �r�N�,:�:`"�. "�,� o <br /> 3 <br />