2003-P05971 - mechanical - Laserfiche WebLink

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�� / -_'` ',i ,a �; . . �: .� ,� �� � PERMIT FEE CALCULATION(S) '� � 2002 State Statute ❑ Yes This Section Applies '� '>� The replacement of a Residential fixture or appliance that meets all three of the following requirements: � � 1) Does not require modification to electrical or gas service. �" 2) Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: '� and '' 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 ,,� Mail-In Fee $ 1.50 ��;� :� �, � If above does not apply, follow guidelines below: � 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) '�" � �� x .0125 $ � ( ntract price) (minimum$35.00) `� `�: 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .501 ';;� x .0005 $ � (contract price) (minimum$.50) � � 3. Posta�e and Handling (Only mail-in applications) $ 1.50 `� � � �; as 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � �� *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including =+ materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done.If any material, � equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items � 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 ;� the job cost,the City may request the submission of a signed copy of the actual contract. ,� � **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over i�� $I,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with k the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. / f Applicant's Signature: /f� ' � � Date: �- /� — � .� Approved By: Date: � � 3 � � � �: � � e � � m � ��x� _ , +� � �� � �: � , " �� . , . _ �.... . .. . k� . _ .. , . .�-,�v .� . .,,.... ,� .�. y .�.. .��