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. <br /> � � �. ---- <br /> � � P���T��E cai.�via�o�v�s� <br /> BASED OFF- 2(l(l2 STATE STATUE <br /> � Yes, this section applics <br /> Thc replaccmcnt of a Rcsidential fixture or appliance that mcets all three of the following reyuircments: <br /> l. Does not require modification to electrical or gas service. <br /> 2. Has a tuta] cost of$500.00 or less, excludin�the cost of thc tixture or appliancc: and <br /> 3. Is im}�roved, installed or replaced by the homeowner or licensed contractur. <br /> Skip next section, if this applies; Cost of Permit $ 1�.O0 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) ,y; 2.0O <br /> Total Permit Fee $ <br /> � PERMIT FEE CALGULATION(S)—�3+OBS OVER$500.00 <br /> If nbove does not apply; follow guidelines below: <br /> L CON1'RACT PR10E * is 1.25%�01'contract price with a (Minimum Fee of$50.00) <br /> 400o a .����s � 50�u� <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE `���Add thc State Bldg Code Div. Surchargc (Minimum Fee ol'$SAO) <br /> x .0005 $ �.(�� <br /> (contract price) (minimum$S,pO� <br /> 3. YOSTAGE& HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. 'I'OTAL PERMIT FEE(Add Lines i-3 Above) $ ��•�� <br /> • �" CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chargcd for thc <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charbed <br /> to the customer for the work done. If any material, equipment, labor or ins[allations arc furnished by <br /> the owner, tenant or any other party, the rea5onable market value of such items must bc acl�ied tc� the <br /> estimat�d cost or contcact price for permit f�ee purposes. In the event that there is a dispute on the <br /> an�ount of the j«b cost, the City may request the submission of a signed copy of the actual cuntract. <br /> ■ �'��'� The ST'ATE SURCHARGE is .000_5 times the Contract Price or a minimum of$�.00. <br /> MEGHANIC�.L PERMIT APPLICATION AGREEMENT <br /> The unde:rsigned hereby applies to the City for issuance of a Mechanical Permit, abrecs to do all <br /> work in strict accordance with lhe ordinances of the City and [he regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> corrcct. <br /> Applicant's Signatur : ����� Date: ����� �� <br /> Reset Form 3 <br />