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. • <br /> ' .�, ,�}� *.PERIVIF'�FEE�A:LrCtt�'L�.���N(S) '�: �, °' ,� � � � �,� � , <br /> � ��, �... .. . _ - . �.. , . � <br /> � , �� . <br /> � ,` �, �r; k ., : _;'� � :`; BASED OF,�`=2U����`TATE S�A�. . R .,..:. � ���,: � ''�� .: `,�..�P <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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> 'a.�`' g.` 'i�PERMIT FEE'CALCULATIQN S =�rOBS OVER$50�.00 = ' — <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> > .- 1 /� �_ <br /> / o� $��`� S� x.0125$ ! b� � <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> � t f 3-- <br /> x.0005 $ �— <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> n d�{ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 1� ( � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pemutted 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 /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MEGHAI�IICAL PERMIT APPLICATION AGREEMENT � <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 /> � � / � r/O �D� <br /> Applicant s Signature. r Date: <br /> 3 <br />