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. <br /> �� £ �, ���x *.;�h•a� <br /> ; • � � ����x�� #� �-�PERNfF'I�FEE CAL;CITL�'A�I'ION(S) ��;'� ` �t:= 't , � ��,_,�� <br /> �, _ - , .... _ n � <br /> ' ` .-,B�S�,D`;_OF� =�2002,�5`�ATES�'ATU��-� t =��.� <br /> - _ � z'� •yi{.,� #=» <br /> . . �r �K��3 #.�� ' <br /> � . Yes,this secrion applies �' <br /> ; <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;excludinQ the cost of the fixture or appliance: and '� ' <br /> ` :3.,, Is improved,installed or replaced by the homeowner or licensed contractor. <br /> '`� � Skip next secrion,if this applies; Cost of Pernut $ 15.00 <br /> �` Sfate Surcharge $ - .50 <br /> � -;� � ' <br /> Mail-In Fee(If Applicable)` ' $ 1.50 <br /> - Total Permit Fee $ . <br /> .�.,� : ` . <br /> •`� 5 ��� ,��,�PERMIT,.�EE ��LCT�LA`�ION(�)--�-�JOB,S==O�ER;$500:00�. � ��.�;� ��� ' <br /> �-� � � _ E <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 /> � � � <br /> "��V�; x.0125 $ � <br /> � (contractprice) (minimumS35.00) x ': <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50) <br /> :: ' . , ' _ , x.0005 $ ... . ; . <br /> (confract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ <br /> ' �' * CONZ'RACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted 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 iterns must be added to the <br /> estimated cost or contract price for pernut fee puiposes. 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 Departrnent at(952) 249-4600 for the price. <br /> ' <br /> .. -f� � •_ , . . 3� `M'��� fi��3[ �3 � . . � <br /> .� ,,.:�:MEGHf1NICA��PERiVIITAPPT,TCATIO�AGREEMEI�T . .. �,° �_.�.,,,��;�:, <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 /> ,\ <br /> Applicant's Signature: ` �.5�� - — <br /> , \ __. ti� Date: �. � �9 �J� <br /> 3 <br />