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� <br /> SEP�23-2015 01:51P FROM:AABBOTT FERRARO 6517761244 T0:9522494616 P.4�8 <br /> ; , ; } � i <br /> � r <br /> � . a , i:. �„ ! , #'i' �� t qP: <br /> � �:�-a � .��000 � � � ��� � ,� S ��� ��: .� t ��� � ,� a.�� ��� <br /> � I- �.'.;. . Y-�,t±� <br /> ❑ Y�;s,this section applies <br /> The replacement o1'a R.esi en ial fix�irc or applif�nce that n�cets all thre�:of the tiollowing requirements: <br /> 1. Does not require modifictitiur�to�.lrctrical nr gas servicc <br /> 2. Has a tot��eo�t or'$5�10.0(►or letis;�;xcluding the cost of the fixture;a•appliance:and <br /> 3. Ts improved,mst<<Iled or rcplace;d by the homeowner crr licensed contrac�:or. <br /> Skip next section.,ifthis��pplies; Cost ot'F'erni,t $. 1'i.00 <br /> Stad:Surchargc $_ 1.00 <br /> Mail-ln l�ee([f Applicablc:) $. :=.UU <br /> Tatal Permit l�ue �. ,_. <br /> � ���������� �t � �: �Ti:�'��yo �. ��� .s� ;�a � :..: �r�"-�T <br /> lf abo��e due�riot apply;follov�•guidelincs belc�w: <br /> 1. C'ONTRACT PRICE * �� 1.254%of contrac:t price with a(Minin�um Fee of�50.011) <br /> D� � <br /> � �3,c��,�„___ x .0125$_��� � <br /> (contract piicoj (minimum SSD.00) <br /> 2. �TA'�''��CHARG� � 0� � �. �� <br /> --'�q t��L___x.0005 $_ ` _ <br /> (centracr price 1 <br /> 3. 1'C�STAGI's& HAIJDI.INU(�nly on Mail-In;'�pplications} $� 2,00 _ <br /> 4, 'CUTAL P'ERM[7f FF:E(�dd Lines 1-3 Abo�c•) �_�� , -� _ <br /> • '� CO'V'fF:ACT PRICE or JOB ('OST rrie�ms the ar.nial or estirr.ated dollar arnount charged for the <br /> pc,rmi:ted work incluGing materiafti,1<<bor,profit,and uch�r(ixed co:�ts. It is the amount to be charged <br /> to the customer for the work don�.. If any mate.rial, cquipment, labc►r or installations are furnished by <br /> the o�rner, tenant or�ny other pa�-iy, the reasonable m:irl<ec value of such items must be added to the <br /> esiimt�ted cost or contract price fi�r perrriit fee purpc�a�;s. ln th� e��ent tt�at there is a dispute ori the <br /> a�nount oi the:jot�co;;t, the C'ity may reque:st the suhtnission of a signed copy of the actual cotitract. <br /> rC�l��'����� � ����������`�' _�_J�������� :::r ; , K��+ <br /> The undersi�;ned hezeby applies to the City for issu�r�ce of�i Mechanical Pe�rnit, ugree� to do all <br /> work in �trict accordar�ce witl� thc ordina»ces of �he City and the re;gulations of thc State of <br /> Minnesota, <�nd certifie:s that all ,tatcmr.nts mude un this application are complete, true and <br /> c��rre��t. �� �—\ <br /> � � � � `,�/� i� G� <br /> A. licant'ti!ii riature: � �f���i_,,r�L� _ Date;_ / �'� �S� <br /> Pp g i� �� <br /> � <br /> 3 <br />