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�ay�-15-2�02 '1:30am Frcm-CI?Y OF OROYG �y�t[vyao�o �-.Y� I .VV:���, � ,.. <br /> � , . . <br /> �����c�r cv�Ar�oMrs} <br /> 2U0�,�tate Statute ❑ Ye9 Ti�i�Seetion Applies <br /> 'f'he repiacement of a R�sidcncisi fixcure or a�pEeance ttiat meets alf ti:rce aPthe foi]owing requircmtnts: <br /> 1) oes reauire mod+fi�iloe t0 el�ctriCal or gas service. <br /> 2) Has a,��j of$SOC.00 or Eess;e�ccludinQ the casc af rhe frxture oc•appliancr: <br /> and <br /> 3� Is improve�, .nst�lted br replaced i�y the hoezteowne�or ticer.sed contractcr. <br /> Skip next sectiion; Cvst of Permit $ I�.QO <br /> 5ca�e Surcharge$ .50 <br /> Mai}-'!n Fee $ 1.50 <br /> If above doos not apply, fallow guidalines betow: <br /> 1. C�at t rice* is .01?5%of job with a Miniu�,trn�ee af 535.40) � <br /> �,_� a.OF25 $ � <br /> lw- ntract pticc) (m,nimum 535.�3(}) � <br /> ?. State Surch�rge•*� Add the State Bvilding C�e Division a Minimum Fee of{5��0� <br /> �,�Z,'� x 0405 S <br /> �c�,rnnct pr:ce} tn.�a�mum s.SC�j <br /> 3. Postaee aad�Stt�dlinQ(Only nuiel-in applic�rinnsj � ��� <br /> � � <br /> 4. 'TUTAL PERMIT FEE(Add lines �-3 abovej $ �� <br /> "'COr]TRACT PRICE ar iOB COST means eAe actual or estimaud Gotlar amaunt charee3+or[he pem:�[[rd work including <br /> materials,labar,protit,8Ila Ot}:C�fl!lCd CU9IS.II 1�t�lt S[T1DLLI:I tC bC C}]87'gL^�[U LhC C4S1QR1Cf FOC�FiC 1i�ork done [f atiy m�terixl. <br /> equipmen�t�.bor.or installation is furnished by che owner,trnant ot Pi.�y othtc p9Ry Lht re�unnblc market�'EIUC 0�5UC;1 IlC!ri5 <br /> must be adQed to the escimaced cosc or conuact price for perm�t t're purp��e�.in thc c�rnt that thcre'rs a dispLct on the amount of <br /> �hv�ob Cost,{ho Ci.y'm�y req�test the submiisioa ot a sigtled.:opy oC eh<eCtuEl co�tcact. <br /> '"Tt+t STATE SUEZCkIARf.rI:.�rA40i of ihe contracl p�ice uridrr 51 000,40U or S.SQ-whichever s�reaTer.For valuations o�irr <br /> �1,000,0(ffr call cht D�par�ment of lnspectional Saviees for!hc Qric:. <br /> Ths und�signcd hcrcay applits cc the City fo►is5usu�er of a Mcchanicai Pcm�it,�1'CCS IO�`J���WOYIi I'1 JLZ1C1 1CC0!'dance w'�t� <br /> the ordinsnces of tAe City and th:iogu4atiorw�f tht Minneso�:��tatr Buiidir.g Code,and eertitizs thut aL statemencs ma3e on;his <br /> applica.iot'�ate cornpiete,true scid corrcce. <br /> � '���� <br /> Applicant's Sigriattire:_ iaate:'_y�,� <br /> Appmved 8;�: Uate' <br /> 3 <br />