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❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does�t require modification to elech-ical 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 Pernut $ I5.00 <br /> State Sutcharge $ .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$35.00) <br /> � a OOQ �� x.0125$ tSV� <br /> (contract price) (minitnum 535.00) <br /> 2. STATE SURCHARGE "Add tl�e State Bldg Code Div.Surcharge(Nrnimum Fee of 5.50) <br /> ��.O O Q �j x.0005 $ �9�� <br /> (coatract price) (minimum S .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 1 � <br /> 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ I � � S <br /> ■ • CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,pmfit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work do�. If any material,equipment,labor or installations are fiunished 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 actuel contract. <br /> ■ s s�e STATE SURCHARGE is.0005 of the Building Deparlment 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 all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature. \�'`�"` Date:�_ _ <br /> ' �, � � � � <br /> . <br /> 3 <br />