Laserfiche WebLink
1 <br /> Y <br /> mail, � ! <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 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 Permit $ 15:00 <br /> State Surcharge $ 50 <br /> Mail-In Fee(If Applicable) $ 1;50 <br /> Total Permit Fee <br /> A <br /> If above;does not apply,follow gutdeYiries below: <br /> 1 CNTRthACT PRICE *is 1:25%of contract ,rice <br /> Owia M►m <br /> P ( � nlge of,$3- OOJ <br /> 0 <br /> contract price) (minimum$35:00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> X.0005' <br /> (contract price) (minimum$..5o) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <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 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=rice 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)2494600 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 ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all stateine ade on this a tionare complete, true and <br /> correct. <br /> Applicant's Signature: _..Date:_ ,'�75 A) <br /> 3 <br />