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� �tr �.i.ir�� ,; f '�S � <br /> r <br /> � +�� <br /> � �' � ��}� � � . <br /> r a4�e e, 'w',i l,. ..�.��.�'�'Yw,�,�. ;r��'`sk�'� ��,�rr.�> <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or�ppliance that meets all three of the foltowing requirements: <br /> l. Does not require modification to electrical or gas service. � <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee([f Applicable) $ I.50 <br /> Total Permit Fee $ <br /> � , �� � � � <br /> g'��.,,�i`§,�Z�u,� rk P,�,, ,2 � ��my 'R..= ���� �� '"��a. � �.,? ����"w �a�� �g <br /> a9�. � <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee�of$35.00) <br /> ���i S � <br /> x.0125$ � <br /> (contract price) (minimum$35.U0) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee ofS.S(I) � <br /> �-S� V <br /> � X.000s $ / � � ' <br /> (contract price) (minimwn$ .50) <br /> . o� <br /> _ ` � <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> �/ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner,tenant or any other party, the reasonable market value of such items inust be added to the <br /> estimated cost or contract price for permit fee purposes. [n the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> �a�.'��<<������ `� �-T '� �. ��� �� <br /> �sq� �, ��;��; <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> ' ����� <br /> Applicant's Signature: Date: <br /> �����'��4�ai'�'���"�, ��� ���"#"'; ��,r9�+, ��`�w���`��y�"�k{ � . <br /> �-. k 5"� :�5 �� r.^:Y��'bt� � <br /> ���+."�� ^�wMY'.�'kr A�r. � ��7�'ti, „n,d� � � ��<.?�.��'� � , <br />