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.+ . , <br /> � <br /> ������'���T'�'��'#`�;'�'� <br /> � Yes,this section applies <br /> The replacement of a Reside,ntial fixture or anuliance that meets all three of the following requirements: <br /> 1. s not require modification to electrical or gas service. <br /> 2. Has a tal cost of$500.00 or less;�xcluding the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip neact secrion,if this applies; Cost of Permit $ 15.00 <br /> State Swchazge $ 5•00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PER11�'I`�''F�.GAI.C[Tt.t�`I�!t�I1 $ �-Jf 3BS+�V�R��t�Q.{14f <br /> If above dces not apply;follow guidelines below: <br /> i. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �L�UIJ GG X.oi2s$ <br /> �' (�om�c r�> c�n�n;�,�,sso.00> <br /> 2. STATE SURCHARGE •*Add the State Bldg Code Div.Surchatge(Miaimem Fee of SS.Ae) <br /> x.0�5 $ <br /> (contraa Price) (minimum S 5.00) <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 fwnished by <br /> the owner,tenant or any other pazty,the reasonable market value of suct►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 cont�ct. <br /> ■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of$5.00. <br /> 14IECHAI+II+C�L>P'ERMIT APFL�C1�'1"��i.Ac.GREET�' <br /> 'The undersigned hereby applies to the City for issuance of a Mechanical Pernut,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 ail statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: V �S G <br /> Rase�t fam 3 <br />