2015-01260 - mechanical - Laserfiche WebLink

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09/29/2415 TUE 8: Z3 Fax 763 �73 8565 8nbre Hedting & Air Cond f�047/447 I li ' I ❑ 'Y'e�,this section applies , Tha raplaeement of s Residential fixture or aneliance tl�at tneets all three of the f4llowing requiremen�: I 1. D e n require modi�cativn to electrical or gas servico, 2. I�as a�of�SOp,00 or less;exaludina the cost of the f�xture or appliance:and 3. Ts impro'ved,installed or replaced by the homeowner or liconsed contractor, Skip noxt seetion,if this applios; Cost of Parnvt � 15.00 State Surchar�e S. . S.QO IV�all-In Fee(if Applicable) $ 2.00 'TotAI Permit Fee S Yf above does not appty;follow guidelines below� � 1. CONTRACT PRICE "is 1.25%of oontract p�ice with a(Minimum Fee of 550.00) _a2.to.� X.oi2s��.►3 i (oonhaot priae) (m1alm�m�90.00) i 2. �TATE SURCHARGTti 2.�1216 t10 x.0005 $,.._...�..__L�'�1_^ coonnga�) � 3. POSTAGL�&HANDLING(Only on Mail-In Applications) S 2.00 I 4. TOTAL PERMIT P'EE(Add Lines 1-3 Above) S 3��'��- • * C0�1'�RA.CT PRICE or 70B GOST cnesr►s the actual or esrimated dollar amount chargad for the parnittod work including roatarials,labor,profit,and other fixed ca9ts. It ia the amount to be charged Eo the custumer for tha work done. Tf sny material,equipmant, labor or installat�ons are furnished by ' the owner, tenant or a.ny other party,ihe reesonable roarket value of such itema must ba added to tha estimsted cost or contract price for perm�it fe�purposes. In the event that there is a dispute on the � amount of tha job cost, the City may raqueat the submission of s aigned copy of the actual contiect. The undersigned hereUy applies to the City�'ox issuance of a Mechanical permit, agrees to do all work in strict ecoordance with the ordinances of the City and tb,e tt+gulations of the State of 1Vlinnesots, and certsfies that all stateme�nts made on this application are complete, true and correct. Applicaat's Signature: 4 Date: �[� �,q`ZO�cJ ' � � 3 i �