Laserfiche WebLink
. <br /> ' FEi�hr�'T FEE+C�L�ULA'TIQ���) <br /> I$A�EU t��'F-2t��:�'Tt�TE�"T'�iT`£�'E ' <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;excludinQ 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 Pennit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> P�R1��'�'��E�i�G�I�A'�'��N S -���35't����Q4�Q� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 3So0 0� X.o,2s$ 5 0, !�D <br /> (contractprice) (minimum$511.011) <br /> 2. STATE SURCHARGE 3 L.710 Q( / �S <br /> `��� x.0005 $ <br /> (contrad price) <br /> 3. POSTAGE&HANDLING(Only on Maii-In Applications} $ 2.00 <br /> 4. TOTAL PERNllT FEE(Add Lines 1-3 Above) $ �3 �� <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 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 /> MEC�[Al'�TICA�:,1���+IIT A�tPI:ICA'TI€��t'ACirR����'T <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 certif"ies that all statements made on this applicarion are complete, true and <br /> correct. <br /> A licant's Si ature i���/!� Date: ���7��� <br /> PP � <br /> �lS��tfti�l <br /> 3 <br />