2011-00133 - mechanical - Laserfiche WebLink

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Feb 28 2011 11 : 31AM HP LASERJET FAX page 4 OEM= ❑ Yes,this section applicS The replacement of a Residentie.I fixture or aonliance that meets all three of the following requirements: 1 1. Does not require wtodification to electrical or gas service. 1 2. Has a total co of$500.00 or less;excludlin the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section, fthis applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ If above does not apply;follow guidelines below: 1. CONTRACT PACE *is 1.25%of contract price with a(Minimum Fee of$50.00) 2,940.00 50.00 x.0125$ (CoQ per) (mieiomum 530.00) 2. STATE SURCHA,1�G>►� **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) 2,840.00 x.0005 $5.00 (Cana""per) (srIimam S 3.00) 3. POIS71 AGE dt HANDLING(Only on Mail-In Applications) $_ 2.00 55 4. TOT PERMIT F*E(Add Lines 1-3 Above) $ '00 1 • * CONTRA PRICE or JPB COST means the actual or estimated dollar amount charged for the permitted including m*crials,labor,profit, and other fixed costs. It is the amount to be charged to the custom for the work done. If any material, equipment, labor or installations an furnished by the mateowner,ber}ant or any other party,the reasonable market value of such items must be added to the estid eo or contract price for permit fee purposes. In the event that there is a dispute on the amount of th job cost,the pity may request the submission of a signed copy of the actual contract. ■ **The STA SURCHARGE is .0005 times the Contract Price or a minimum of 55.00. i The undersigned hereby applios to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Mirmesota, and certifies that ;all statements mad on this application are complete, true and 1 correct. Applicant's Signature: Date, 02/28/11 i' I i 3