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, - PE;R1t�I'�FEF?��?�L�ET�,A`F�t�T(�)' _ : . ..- _ , <br /> - � BE4.�ED dF�-�f�12 ST�,3'E.�I'AT�E ' <br /> ❑ I'es,this secrion applie�: <br /> The repl�c�rnent af a Residential fixture or applian�e tbat me�ts a11 three of the following reqnire�nents: <br /> 1. Does not reqtiire motlifica�ion to electriea2 or gas service. <br /> 2. Has a total cost of�SOU,Ot�or Iess;exc�aclin�tI�e es�st of the fn€ture or appliance:and <br /> 3. Is improved,installed oF re}��aced by the homeowner or H�ensed contractor. <br /> ' 3kip next seciion,it'this applies; Cosc of Perfnic S 15.�0 <br /> Stafe SurcharS� $` .50 <br /> 3VI�ik�n Fe�(ff Applicable) $ -�" <br /> Total Permit Fee � <br /> ► PFR�VI�T FEE,Gr1LCLFLAT"I(7N�S�=Jl7B� O'�R��SOc7 Ofl <br /> If above does nat a�ply;�6�IQR'gui�elines bela�r_: <br /> i. CONTKACT�'RICE *is 125%of contract price witli a�inimum�Fee of�35;04) <br /> � ��� y x_0125� �f`�.�.�� <br /> orttracE p�ice) (minimum�33,00) ` <br /> 2• ST�TE 5URC�3AR�.E '�*Add the State B}dg Code Div. Surchazge(1►�iireimum Fee of 5.50) <br /> r r t� <br /> L �E ��ta X.1?0�5 $ , �� I <br /> (contractpriCe) (minimumS,.50) <br /> 3. POSTI�4GE 8c HANDI;ING{Only o�r lwfail-In Agglicatians} � <br /> ..�.�.��6� <br /> 4. TOTAL PER�vIIT FEE(Add-I.ines�=3.4buve) � ���.��-- <br /> ■ � CONTRACT PRICE or .TC�B �pS'�' mea�s Fhe aGtual 4��st�ted dnilar amoent charged for the <br /> perniitted work includtng materiats,Iabor;profit,and:ott�er fixed costs. It is t`be amount to�e charged <br /> tn.the customer for the work done. If any material, equip�ent, tabor or insttatlations are furnished by <br /> the owner, tenant or any ather pa�fy, the reasanable ma�et value of such ite�must be ac2ded to#l�e <br /> estimated cost ar ccsniract ptice for permit fee pu�rposes. � the e�ient thaf there �s a dispute on che <br /> amount:af t�e job cost�th�e City may request the.submiss%on a€a sigr�ec� eopy of the actual contract. <br /> • �`*The STA'TE SURCHARGE is_6005 of the Building Department�t(952)249-4500 for the price.. <br /> - �cz�v�c�r.P����p�.�cA�a������ <br /> The undersigned hei-eby ap�lies to the Ci�y for�ssuance o�a Mechatrica�I'ermit;agrees to do all <br /> work in strict accordar�ce wi�;ttte ardi�ances of the City`an� ths regt�Iatio�s of fhe State of <br /> Minnesota, and eertifies that all statements made on thi� applicafion a�e complete,;true and <br /> correCt. <br /> Applicant's Signat�re: �a��. ����r,�� <br /> 3 <br />