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;���.�`:�;��,�p�"y.`�'��r�;�* °,y3':t�PER1yIIT�FEE,�C�ALCLTI,ATION(S)�E" �t4���' yv��',+<� -��`�'Y `;; <br /> j�t 3 �..t .� J.{,�, a i:Iz�. �� y!�h5•;1 F_.. 1�- .N t lti�3x-t.}? ^�ry.J' -.l1�-:4i� K" :��''c4' , .h 1 f`s..�'!V Y�� N°�„� t <br /> �r <br /> �,.{� ASED.OFF;'2002,S.TATE ST:qTUE=;:,... .�. u�, �,r. � <br /> :, i..�,i�fz�.,C,s�,��,�1,ii,:�T B ."h _ <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;excludin�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) $ 1.50 <br /> Total Permit Fee $ <br /> ��� PERMIT FEE CALGUL;ATION S =JOBS OVER$500.00 ` - .` <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.2�40 of contract price with a(1linimum Fee of 53�.00) <br /> �5 ���.00 � .O12� � / 0 �. � <br /> �convact prieej (minimum 5��.00) <br /> 2. STATE SURCHARGE ** Add the State Bid��Code Div. Surcharge (�tinimum Fec ofS.SO) <br /> ��, �VU, ♦o x .000� S !. �� <br /> —�(contr�ct price) (minimum 5 50) <br /> 3. POSTAGE & H.Ai�1DLING (Onh� on I�tail-In Applications) S 1.50 <br /> 4. TOTAL PERtiIIT FEE(.Add Lines 1-3 Above) S � �/l.Y .�O <br /> • * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for tlie <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be char�ed <br /> to the customer for the work done. If any material, equipment, labor or installations are fumished 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 SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> , � - • .- ' MECHANICAL PERMIT APPLICA_TION AGREE.MENT <br /> The undersigned hereb plies to the City for issuance of a Mechanical Permit, agrees to do all <br /> �vork in strict ac rdance � ith the ordinances of the City and the re�ulations of the State of <br /> Minnesota, and ertiFies that 11 statemen ma e n t isr/application are complete, true and <br /> correct. <br /> _ , <br /> Applicant's Si�natu2�� �� Date: � II�J � <br /> ,,:� Reset Form , . �\•J, <br /> . . `'','.:. . :. . ..... . _ . . <br /> 3 <br />