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s <br /> ❑ Yes,this section applies <br /> 1'he replacement of a Residential fixture or appliance that meets all tl�ree 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;exciudins 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 Pertuit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE "is 1.25%of contract price with a{Minimum Fee of 550.(10) <br /> �2 O G.S�� X.�125$ <br /> (contractprice) (minimum$SO.i)0) <br /> 2. STAT'E SURCHARGE ��ZS p� <br /> x.0005 $ <br /> (contract price) <br /> 3. PUSTAGE&HANDLING{Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ <br /> ■ '` CON"TRACT PI2ICE or JOB C05T means the actual or estunated dollar amount charged for the <br /> peimitted work including materials,labor,pro�t,and other fixed eosts. It is the amount to be charged <br /> to the customer for the work done. If any material,equipment,labor or installations are futnished 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 petmit 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 /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do ail <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 Signa e: Date: 1 z /9 �3 <br /> 3 <br />