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❑ Yes,this section applies <br /> The replacement o£a Residential��or a�,plian�ce that�eets all t'hree of the following requirements: <br /> 1_ pocs not xec�uxze zx�odi�cation to electrical or$as service. <br /> 2. Has a tota co t o£$500.00 or less;e c u � the cost o#'the�xture or applxazxce:arad <br /> 3. Is improved,installed�r replsced by the homeowner or licensed contractor. <br /> Skip z�ext sect�oz�,if t�is applaes; Cost oif Permit $ 15.00 <br /> Statc$imcharge $ 1_0{1 <br /> N�ail-I�a k'ee{If Applicable) $ 2.00 <br /> '�'vtal Permit,Fee S <br /> Z�above does a�ot a�rply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of co�tract pzice watla a(],V�in��num k'ee o�SSU.00) <br /> 2�5��- �.0�zs�,�, �p.� <br /> (coaztracrpz�ce) (nuti�uimam SSU.OU) <br /> 2. STATE SURCHARGE <br /> �J(P�L �.0005 $ �.� <br /> (contract price) <br /> 3. POS'�,A.G�&HANDLING(Only on Mail-In Applications) $ ?.�80'� <br /> 4. TO�'A�.�E�tMIT FEE(Add Lines 1-3 Above) S ��Z� <br /> ■ * CONI'�tA.CT��CE or JOB COST means the actual or estimated dollar amount charged far che <br /> pexzxaitted wark including materials,labor,pro5t,�d ottAeF fzxed casis. it is tkae�x�,oiuxt to be cb�arged <br /> to tbie custo�mex�'oz t�e work done. If any material, equipment,labor or installations are furnished by <br /> the owtlet,tenant or any othex party,the�ea5oz�able zz�z�et va�ue o�such itez�s zx7�ust be added to t�Ze <br /> esti�oo,ated cost or con.t�act price for permit fee purposes. In the event that there is a dispute on the <br /> smount o£tk�o job cvst, the City may xec�uest tb�e subnazssio�of a s�gned co;py of t�e acival cvz�tzac� <br /> 'The uzadexszgzzed hereb� appli�s to the City for issuance of a Mechanical permit, agrees to do all <br /> work iza st�ct accoxdance with the ord.inances of the City and the regulations of the State of <br /> 11�x�,esota, and certi�es that a11 statements made o�. this application are complete, true and <br /> correct. <br /> ,A,pplicant's Signahue:� bate: r <br /> 3 <br />