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, « <br /> �l&t������� �iN° ������.:: ,, �s d <br /> ' ��� �,+ r <br /> � �. >.�-,+ .. �C�������'�, � <br /> ❑ Yes,this section applies <br /> The replacement of a Residendal fixture or appliance that meets all three of the following requirements: � <br /> 1. Dces 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(If Applicable} $ 1.50 <br /> Total Permit Fee $ <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> � x.0125$ '��j � <br /> , <br /> contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee ofS.50) <br /> - ��VV x.0005 $ .�� <br /> (coetract Price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �j�.d� <br /> ■ * CONTRAC'T PRICE or JOB COST means the achial 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 fumished by <br /> the owner,tenant or any other party,the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In 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 Deparbment at(952)249-4600 for the price. ' <br /> 3 ��: <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 a�plication are complete, ttue and <br /> correct. <br /> , � <br /> ApplicanYs Signature: Date: �''�r"'" � <br /> ,,� 4� ;���` ' ������ �_�` �� <br /> `�£� � y _� � �u <br /> , ��� <br /> _;X ���`.,�.'.'�afFy , ur'�in.& .v3h;.x . ,.. „ . uw..�'t��.'i <br /> 3 <br />