Laserfiche WebLink
. - 01-17-'18 12:12 FROM- T-421 P0006/0007 F-843 <br /> PERIvZIT FEE CALCCJLATYqN(S) .. <br /> BASBD�O�F-2002 STATE.STATUE : ' <br /> ❑ Yes,this section applies <br /> The roplacement of a�tesidential fi:xtur�or appliance that►neets ali thre�of the foliowing requirements: <br /> 1. Does not require modification to electricaI or gas serviee. <br /> 2. Ht�,s a total cost of$500.00 or less;excludina the cost of ihc flxture or sppliancc:and <br /> 3. Ys improved,installed or replaeed by the homeowner or licensed contractor. <br /> Skip ne.Sct section,if this applies; Cost of Permit $ I 5.00 <br /> State Sureharge � 5.00 <br /> Mail-In�ec(If Applicabl�) S 2.00 <br /> Total Permit Fee S� <br /> pEYtM7T�EE CALCUL;ATrON(S)�70BS OVER�$500.00; ; <br /> If abor+e does not apply;follow guidelines below: <br /> l. CONTRACT PRICE * is 1.25%of contra/ctj price with a(rilinimum Fee of$50.00) <br /> V/ V J •�.'.. •.'.'•.'•!�,• e,/.�K. � , ••-•�'^� <br /> � '� Y?S::$�:'�.} ,, ,.;-:,:;.. <br /> 0.. � .:�.Y.� ��.�,z. <br /> .._`:'.�c "i �n Oo) <br /> 2. STAT�SUItCEiARGE /n u ,�j� <br /> �tY�� x:QO��,:$�} I ' <br /> c'o tte' i�e , <br /> 3. POSTAGE 8c HAND�,iNQ(Only on Mail-In Applications) $�_ � ;;�;;o�:;�,'-'�` <br /> ( ) $,;,' ::::: .._��,w:�.:,,�;� <br /> 4, TOTAL PERNIIT FEE Add�,ines 1-3 Abor+e � �✓[;:'Mi��l't'N.�� <br /> ■ � CONTRACT PRIC�or JOB COST n�eans the actual or estimated dollar amount charged for tlte <br /> permitted work incl��ding materials,labor,�7rofit,and othCr fixzd costs. It is the amount to be charged <br /> to thc customer for the work done. If any material,equipment, (abor or installations are furnished by <br /> the owntr,tcnant or any otheP pal'ty, the ressonablc rnarket value of such items must be added to the <br /> estimAted eost or contract price for permit fet purposes. In the eveni that there is a dispute on the <br /> acnount of the job cost, rhe Ciry may request the submission of a signed copy of the aetual contract. <br /> . :MECT�A�IICAL PERIV�IT"Al?PLYCATXON AQREEMENT:. .: � <br /> The undersigned hereby applies to the City for issuartee of a Mechanical Permit, agrees to do ali <br /> worl: in strict accordance with the ordinances of the City and the i�egulations of tlte State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: �� l rl ��/ U <br /> ��:��' �.. <br /> 3 <br />