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<br /> ' � ❑ Yes,this sechon apphes �
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<br /> .��:����x ,The re�lacement of'a Residenhal fixture or apphance that meets all three of the following reqwrements + �
<br /> .� : 4 E.� 5 ,�„`f . ; ... - .. ., � �
<br /> r�''�s7rx�. Y'�^"�'�i�� �$},4,��� �-+ r' .;�. �":..:. ..i .: ,�.��.5 . , �`': �'-tif `},�: ,; ��,Z! t� + �gt
<br /> 4 i������, � ^� 1 : Does not require modificarion to electncal or gas sernce - . . ¢ -� '� >� '��u+ Y
<br /> , `���,�"� 4 4��"j 2 � Has a total cost of$500.00 or less;exclucline the cost of the fixture or appliance and �``'� A � ` j
<br /> i �F'^j 1.4' ��/'s�3,�t �%�
<br /> �- �����.�� .���,�,,��3 s Is unproved,installed or replaced by the homeowner on c�ensed contractor �;a4 � �„ ,��,�
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<br /> d�,r��"a, r a.��"A t 5 x : : �.: ���� �:. : :. � -�� + . � t:a* y 1�y �
<br /> s; ,.��� ��,����r Ski next sechon if tlus a � lies Cost�of Pernut � £} �"
<br /> � � `� .� P , PP . $ 15 00 � � ' ��.�-�.��;� ,
<br /> , ,�"���'x� '������ State Surcharge , , $ 50�`��4 >`�-�-�'����-�.�f��y��
<br /> , ;Y� �`�'��' Y � ,��}t�� :� Mail-In Fee� If A hcable � 4 ��}" " "
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<br /> �, �f x ,, ,� ; ,;:� PP ): $ ' 1 SD ,��"�f��, �,
<br /> -` x4" '�� - ,` ` ' Total Permit Fee; .: ° r '$ , � 1 �- �s �,�.��,' �
<br /> ' �"' � a��r+ `3
<br /> 't$ �VY�"�'y �� �- x�Tf-'�'�+ i p �A�fs+�'3 f'r'�'
<br /> ) � 1.'1 - � ��i . � � M` �R :T "+6
<br /> � `���� ;x Y�� a r,k f ;„h��,".a`�'��-f
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<br /> , If'above does not apply;follow guidelines below: ' '�,
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<br /> F 1 CONTRACT PRICE *is 1.25%of contract pnce with,a(Minimum Fee of$35.00) s
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<br /> �� �� X.�I25$ � ' S
<br /> . - , contract price) .> � ,:(minimum$35.00) �
<br /> 2: STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
<br /> x.0005 $
<br /> ;, (contract price) -. (minimum S .50)
<br /> - 3; POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 �
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<br /> _ 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $
<br /> • � * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the
<br /> - , pemutted work including materials,labor,profit,and other fixed costs. It is the amount to be charged
<br /> to the customer for the work done: If any material, equipment, labor or installations are furnished by
<br /> - the owner,tenant or any other party, the reasonable market value of such items must be added to the .`
<br /> estimated cost or contract price for permit fee purposes: In the evenf that there is. a dispute on the '
<br /> ` amount of the job cost, the City may request the submission of a signed copy of the actual contract:
<br /> � • **The STAT'E SURCHARGE is.0005 of the Building Department at(952)249-4600 for`the price.
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<br /> ' . �_Y....��h�t .-.r�,a �..�.. .r.a u .r,..r.4 .. n.......-rin ..i .-.. ,n:. . >dr.. .. ....u�.,.�.,• �.i..T.� .....�. .
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<br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all �
<br /> work in strict accordance with the ordinances of the City and the regulations of the State of �
<br /> Minnesota, and certifies that all statements made on this application are complete, true and :
<br /> : conect. �
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<br /> ApplieanYs Signature: Date: f�- f 9" ��
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