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07/25/2414 FRI 11: 02 Fp,�t 763 a73 8565 Sabre Hedting 6 Air Cond f�047/407 <br /> ❑ Yes,this section applies <br /> Ths replacsment of a Rasidantial fixtura or anolianae that meets all three of the folkowing requiraments: <br /> 1, Uoes not res�uire modifica6on W elearical or gas service. <br /> 2. I�as a wtal cost of$500.00 or leas; in the cpst of the fixture ot appfisnc�:snd <br /> 3. Js i�np�roved,installed or replaced by the homaovmer or licenaed contreator. <br /> Skip next section,if this applies; Cost of PermFt ' S 15.00 <br /> State Surcherga S 5.00 <br /> Mail-In Fee(lf Applicable) S 2.00 <br /> TOtal Permit I�'ee !6 <br /> IP above doas not spply;follow guidelines below: <br /> 1. CONTRACY'PRICE '"is 1.Z5�/o of contract price vnth a(Minimum Fee of 550.�) <br /> �.�p2�S�Ob ___ x.o125$ . �� <br /> (oontraotprice) (minlmumSSU. OU ) <br /> 2. �'j'�1TE SURCHARG� <br /> �lp�}S�OQ_ x.00OS � ��•l2�- <br /> (oonasat price) <br /> 3. POSTAGE&HANALING(Oniy on Mai!-Yn Appli,Gauons) $ 2.Q0 <br /> 4, TpTAL PERMTT FE�(Add Lines 1-3 Above) � .����� <br /> • "' CONTRACT PRICE or 70B COS�' masns tha actual or estimated dollar amount charged for tlue <br /> p�mitted work including me,terials,labor,profit,and othar fixed costs. It is the amour�t to be charged <br /> to the customer for the work done. If any rnaterial, equipment,labdr or installations are fumished by <br /> the owner, tenant or any other party,the reasnnable market value o�such items must be added to the <br /> estimated cost or contract ptice for permit fee purposes. In the eveat that thare is a digpute on the <br /> amount of the job cost,the City may request the eubmission of a signed copy of tha actual wntr�ct <br /> The undersigned hereby applies to the City for issuance of a Mechan�ical.Pvrmie, agrees to do all <br /> work in strict �coordanca wit]t the ordinances of the City and the regulations of the State o£ <br /> Mintaesota, and certifies that all stateme,nts mada oz� tl�i� application are complote, true and <br /> corrcct. <br /> Applicant's$ignature: ��JL�Q�,I,tU Date: �'�GJ'Z.01�{ <br /> 3 <br />