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MAY.30'2002 14:53 651 633 8884 FIRESIDE CORNER #6211 P.004/004 <br /> 1 � <br /> a <br /> PF,RMI'�'FEI�: C CULAT�UN(S? <br /> 200�S�4atc Statutc []Yes 7.'h19 Scction Applics <br /> The replacem�•ttt of a R.v. ' c ial fixt�}�c or appLzncc t}.�at meelti aIL tluee ot'the following r�quir�menls: <br /> l) Does n_ot requirc nwdifrcatr�n ta cicc[ricai or gas servicc. <br /> 2} TIas a wta eost of�SQ0.00 or lcss;cxc���in�the cosk af t�le fixture or appliance: <br /> and <br /> 3) Is imp�-aved,in.st��lled or repl�►��d hy thc homcuwner ar licensed umtr�ctor. <br /> Skip next sectian; Cost of�'crmit $_],5�,�0 <br /> �tatc Surchargc.�,.,,,�SO <br /> Mai!-In I'ee $ 1.50 <br /> If abovc docs not apply, follow guidelincs bclow: <br /> 1. Coatr�ct!'ricc* is .U12S"/o of job with a ll�inlmum Fee pf�!�3s QO) <br /> 11L:C1.�-� X .[}t2S $ -7��'c:u <br /> {contract pric�) (minimum$35.U0) <br /> 2. Stute fiu� aree. *•Adct thc Statc F3uilding Codc Uivisian a l��nimum Fee nf[�SOl <br /> � "Y��� x .OU45 $ , � <br /> (contract price) (minimum S.SO) <br /> 3.Po9taec nnd 1�I�t .dllnE{Oisly rnatl-fn qpplieatlurrs) $ �� <br /> 4. TQTAL PFItMiT TEE (Acld.lincs I.�3�bovc) $ •3�-�~,�S f^ <br /> "CQNTRACT A�IC�ar JOB COS'I'mcans tluu.ktunl nr catimatrd doUar:�muunt ch�r�ed for thc permi�ted work including <br /> mat�riols.labor,profik una other tixed wstN.it is the smount t�be o}�nt'gCd to the�ustomcr for Lhe work done,If elly trOterial, � <br /> equiprt�cnt,l�bo�,or inst�llation i5 lurnished by thc�wner,tenant or any uth�r haRy the rensonabtc mttrket vA]ue of sueh items <br /> must be addc�to the escimaced cust ar eoncrocc p�ce fcn Permit i'ee p���poses.[n th�cvcnt thne�}►ere is a disput�on d�e amount of <br /> the job cost,thc City may request the suk�mission of a siE;ne:d e�py af the acXual contr;ict. <br /> '•Thc STAT�SURL'HA}tGl;ib,(1005 of tho contrcict price undcr$1,400,0(}Q ur S-50-whichever is grc:�tCr.Fqr valuations over <br /> $1,OOO,p00 csll tEse Deportment uf Inspeetianal Serviccs fur Uic price. <br /> T'he undersigned hereby Rppties ta thC City for is.suancc of a MCohnnic�)1'emiit,a�rec�to dQ s1U work in sfiet aeeord�nce with <br /> the ordinnnces of thc City and the rogul�tions af the Minnas��tf�St�Ytc Ruilding Codc,and ccrtifics th�t all st�tements made an this <br /> applie:�tion w�e eomplete,true and c ct. <br /> Agplicani's Signature: _ : ,��;:� Datc; -S -� �+— <br /> Approved 8y; Aate: <br /> 3 <br />