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t , 4 <br /> • � <br /> �1JLVI�I.A �LEJ �..+��J�V���A�ir{IJ� <br /> 2002 ��at� Statute ❑ �es�'hfis Sec�ion t�.ppti�es <br /> Tl��replacement of a Residential fixture or at�pliance that meets all three of the following rec�uirements: <br /> 1) Does not require modification to electr�cal or gas service. <br /> 2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Slcip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee � 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. �oaz�a-�ct �g-ec�� as .0125% of job v✓�t11 a i��i�as��tarn Fee of(��5.00) <br /> ��'�%v.c�� x .0125 $ Lf/.�J <br /> (contract price) (minimum�35.00) <br /> 2. State S�rc��ar�e. �°* Add the State Building Code Division a l�'Iinamum Fee�f(� .50) <br /> ��c���.c�� x .0005 $ - � � � <br /> (contract price) (minimum$ .50) <br /> 3. �'�s�aae and �andiim� (�rady aaiail-i�a applieatiorT�s� � �— <br /> 4. T'��':�L� ���2i��T' �'�� (.�.dd Iines 1-3 above} � (�.`�. yv <br /> *CONTRACT PRICE or JOB COST means d1e actual or estimated dollar amount chareed for the pennitted work including <br /> materials,labor,profit,and oYher fixed costs. It is the amount to be char�cd to the customer for the work done.If any material, <br /> equipment, labor,or instailation is furnished by the owner,tcnant or any other party the reasonable marl<et value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission uf a signed copy of the actual cor.tract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,OQ0,000 or�.50-whichever is greater.For valuations over <br /> �1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the Ciry for issuance of a Mechanical Perniit,aQrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Ninnesota State I3uilding Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> � <br /> Applicant's Signat� ^�.-c�_ — ; �`ti-- Date: �� ��� <br /> Approved By: � Date: <br /> 3 ! <br />