Laserfiche WebLink
1 <br /> � <br /> � � _.,� _ ,.�. , � . , . . . � �. � <br /> r , F <br /> � �. , . � � _ � <br /> _ .� " ����� �� „� �,, .� �- � � <br /> � . _ ��, . � <br /> - :� . . .�� , .. � ... . A3'.- . � ' <br /> n.-'r x.� ,e; :, i i.. . r'St.. , ' . ,'. 4 -, _ <br /> . .« ... .�x .... t �n'. � .�� r, � 'r � �. . .e. t-"-,. . :,.�b' a .�.an _ ..._��. . ��_� . ...., <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;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 $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> ��°. p y s�. � 4�" � r t � � � � 5 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � C>C� x.0125$ <br /> (con act price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (conuact price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <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 /> �. _� _ . . . _. , - <br /> . � _ � . <br /> �„ . � <br /> �� �, t. ���� , ti <br /> ��: . . m,. <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 /> Applicant's Signature: y� 2-''^ � ate: � � '"�� <br /> 3 <br />