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MAR/10/2014/MON 12: 11 PM Heating & cooling FAX No, P, 003
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<br /> � Yes,this section applies
<br /> The r�placement of a Residential fixture or appliar�ce that rneets all three of the following requirements:
<br /> I. Does not require modification to elec�ical or gas service.
<br /> 2. Has a total cost of$500.00 or less;excludine the cost of the 5xtvrc or applianee:and
<br /> 3. Is improved,installed or reptaced by the homeowr�er or licensed contractor.
<br /> Skip next section,if this appIies; Cost of Permit $ 15.00
<br /> State Surcharge $ 5.00
<br /> Mail-In Fee(tf Applicable) S 2.U0
<br /> Tatal Permit Fee S
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<br /> Tf above does not apply;foIlow gurdelines below:
<br /> 1. CONTR.ACT PRTC� *is 1.25%af contract price witii a(Minimum Fee of 550.00)
<br /> ��� x.0125$
<br /> (contract price) (anfaimum s50.00)
<br /> 2. STAT�SC7�tCHATtGE
<br /> x.00�5 $ ___
<br /> (r.nnvacx price)
<br /> 3. POSTAGE&HANDJ.ING(Only vn Mail-In Applications) $ 2.00
<br /> 4. TOTA�.pETtMIT�E(Add�,ines 1-3 Above} $
<br /> ■ '" CON'TRACT p12YCE or 70B COST means the actual or estimated dollar amount chargcd for the
<br /> permitted work including materials, labar,profit,and other fixed costs. It is the amount to be charged
<br /> to the customer for rhe work done. Tf aony material, equipment, labor or instaIlations are furnished by
<br /> the owner,tenant or any other party, the reasonable market value of such items must be added to the
<br /> sstimatod cost or contract price for permit fee purposes. In the event that there is a dispute an the
<br /> amount of the jab cost, the City may request the subzr�ission of a signed copy of tha actual contrac�
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<br /> The undersigt�ed hereby applies to the City for issuance of a Mec}�anical Permit, agrees to do all
<br /> work in strict accordance with tlte ordinances of the Ciry and the regulations of the State of
<br /> Minnesota, and certifies that al! statements made ' a lication are complete, true and
<br /> correct.
<br /> Applicant's Signature: � � �
<br /> Date: � � (
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