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�. , <br /> , <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 mod�cation to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludina 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 tivs applies; Cost of Pemvt $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � I15l �V • � x.O125$ (� , � <br /> oontreot p,;ce> (minimum sso.00> <br /> 2. STATE SURCHARGE *'Add the State Bldg Code Div. Surcharge(Minimum Fee ot S.50) <br /> � l� , no o X.000s $ �. oa <br /> ccontraot Ex;ce> (minimuu,s .so> <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $_ _ 2.00 <br /> D� <br /> 4. TOTAL PERMIT FEE(Add Lines ]-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 pemut 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 /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ord' ces of the City and the regulations of the State of <br /> Minnesota, and that all st men e is application are complete, true and <br /> conect. <br /> Applicant's Si e: Date: W � <br /> 3 <br />