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• . <br /> . ' ' , . k�����`��E��C�A��,��(�� � ,, ,� ; � <br /> ��A��i�aFF4 ,2�02 S�`A�`��'�;�'�'U� ' � �' <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 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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> - '. PE�1�1�T FEE�CAI,G�JI.,A1�(3�T(��:-t-�Q��j(���R,$54�.�Q°. :". _ '_ ' <br /> IFabove does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> l' � � + a� x.012� $ � � <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> . ��x.0005 $ �".(��' <br /> c tract price) (minimum$ .50) <br /> 3. POSTAGE&HANDL1Iv G(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERI�IIT FEE (Add Lines 1-3 Above) $ I ��j.. � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pemutted 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 must be added to the <br /> estimated cost or contract price for pernut 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 si;ned copy of the actual contract. <br /> ■ **The STATE SURCHARGE is .000� of the Buildin�Department at(9�2)249-4600 for the price. <br /> MECHAI�ICAL PER�vIIT AL'PLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> �vork in strict accordance �vith the ordinances of the City and the regulations of the State of <br /> Minr�esota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Si�nature: Date: �—��v� <br /> , <br /> , <br />