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1 �e <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to elecfical or gas service. <br /> � <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 *ls 1.25%of contract price with a(Minimum Fee of$35.00) <br /> / �� x.0125$ ��.�� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Swcharge(Minimum Fee of$.50) , <br /> • x.0005 $ • O U <br /> (contract 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'�. �j16 <br /> . ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chatged <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 Department at(952)249-4600 for the price. <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 a11 statements made on this application are complete, true and : <br /> correct. <br /> ' `�J <br /> Applicant's Signature: Date: �� <br /> �'��,r,o�,,,,� ; ,, i„ ! <br /> 3 <br />