2017-00486 - mechanical - Laserfiche WebLink

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05/11/2017 THU 9: 14 FAX 763 473 8565 Sabre Heating 6 Air Cond 1007/007 V'ESi,)1'f r Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: I. bpes.not require modification to elech ical or gag service. 2. I3as a total cost of$500.00 or less;exclud ink the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge S 5.00 Mail-In Tee(If Applicable) $ 2.00 Total Permit Fee S co/0.; If above does not apply;fallow guidelines below: 1. CONTRACT PRICg *is 1.25%of contract price with a(Minimum Fee of 550.00) 14980,00 x.0125$ 1%1 (mulct price) (minimum 550.00) 2, STATE SLIM CUAIR R 114 q/10.60 x.0005 $ 1-50 (contact Pte) 3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2.00 .- 4. TOTAL PERMTC FEE(Add Lines 1-3 Above) $ !gust • * CONTRACT PRIG or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment,labor or installations are furnished by the owner,tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. F i,L l� i \i'FIt \I'. `�E tr i (4 �, ��I Ei . '� I Il��.. ��rl�l�;irti�pf The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct, Applicant's Signature: .LQa.mDate: 5•1i• 1011 3