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� � ' PERM�T��E�AI.CLTL�TIQN(S} <br /> ' - ,,.:���'����: .���Yi����Y��. ���.�..:... ,. . �.. `. 4 3.. ,,.', �. <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or apnliance that meets all three of the following requirements: <br /> 1. Does not require modification to electcical 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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> .���2�i�E c�.�u�a�r� ���,�oss a����a�:na ,.=.. <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract pric with a(Minimum Fee of$50.00) � <br /> ��� x.0125$ � ' S <br /> (contract pric (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Co e Div. Surcharge(M;nimum Fee of 5.50) <br /> y x.0005 $ � ' o <br /> contract price) (minimum$ .5 ) <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 fumished 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 putposes. 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 Departrnent at(952)249-4600 for the price. <br /> j �'"��� � �4,k �`3.; . � Ik -4� u ;''i.,n�`'�' = <br /> '1`�$yu '�v."`�3 ^��� '�«a'N`;-`: <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 regularions of the State of <br /> Minnesota, and certifies that all statements e on this application are complete, true and <br /> correct. <br /> Applicant's Signatur . Date: � <br /> � � ��� <br /> ����»�,._ . � 4, <br /> 3 <br />