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❑ Yes,this section applies <br /> :The replacement of a Reside tial fixture r appliance.that meets all three of the following requirements: <br /> 1_ Does not require modification to electrical or gas service. <br /> 2. Hasa total cost of$500.00 or less;e c udin 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 S 15.00 <br /> State Surcharge $ 1.00 <br /> Mail-In Fee Of Applicable) $ 2.00 <br /> Total permit Fee $ <br /> If above does not apply;follow guidelines below: <br /> I. CONTRACT PRICE *is 1.25%of contract price with a(M:inlmum Fee of$50.00) <br /> x.0125$ ���� <br /> (contract price) (minimuirt$50.00) <br /> 2. STATE SURCHARGE U�q� <br /> O— x.0005 $ 6 T <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) S. 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ •jut <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 wont 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 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 /> The undersigned hereby applies to the City for issuance of a Mechanical Perrnit, 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 statements made on this application are complete, true and <br /> correct. <br /> t <br /> Applicant's Signature: Z2r VC , Date: <br /> 3 <br />