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r • <br /> ����1�`�V�t�ti.J�.��V!'I�r��' , <br /> �' lJ�tJ�:+���1:' '".��� �1�1.G�1:��1 V;�+ <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.�0 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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> � Total Permit Fee S <br /> �'��M'�'�'��.��i���.�'�I�} �' .�{����1�.$S#�� ..:. <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE �`is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 2,000.00 x.0125$ 50.00 <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARCE **Add the State Bldg Code Div. Surcharge(Minimum Fee of S.SO) <br /> 2,000.00 x .0005 $ �•00 <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00 <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted 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 permit 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 signed copy of the actual contract. <br /> • **'The STATE SURCHARG�is.0005 of the Building Department at(952)249-4600 for the price. <br /> ' MEGHAN��A,�.�'��1��.�P�.�:A,'TI4�`A.C`rR�EA�i'T' . ` <br /> T'he 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 /> Applicant's Signature: Date: 01/27/10 <br /> �8�"�1'�1"� <br /> 3 <br />