Laserfiche WebLink
, <br /> .� ' <br /> , <br /> ❑ Yes,this section applies <br /> i <br /> I <br /> The replacement of a Residential fixture or a liance that meets all three of the following requirements: <br /> 1. Does not require modification to lectrical or gas service. <br /> 2. Has a total cost of$500.00 or les • excludins 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 Permit $ 15.00 <br /> State Surchazge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee S <br /> If abo�+e does not apply;follow guidelines belo : <br /> 1. CONTRACT PRICE * is 1.25% f contract price with a(Minimum Fee of 550.00) <br /> , , ,.,, . � .�� x.0125 $ ��.• �� <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE �/ � (,'� <br /> b i� x.0005 $ � � � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on ail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1 3 Above) $ �� a ` <br /> ■ * CpNTRACT PRICE or JOB COST mean the actual or estimated dollar amount charged for the <br /> pernpitted work including materials, labor,pr rt,and other fixed costs. It is the amount to be charged <br /> to tt�e customer for the work done. If any m erial, equipment, labor or installations are furnished by <br /> the Owner, tenant or any other party, the reas nable market value of such items must be added to the <br /> estnilated cost or contract price for permit fe purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request e submission of a signed copy of the actual contract. <br /> The unde�signed hereby applies to the City for 'ssuance of a Mechanical Permit, agrees to do all <br /> work in �trict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements ade on this application are complete, true and <br /> correct. <br /> �I� <br /> Applicant'� Signature: LDate: �� ` � <br /> C � <br /> 3I <br /> � <br /> , <br /> I <br />