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Nov-03-2008 09:30an From-CITY OF 0RON0 +9522494616 7-a24 P.003/003 F-35H
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<br /> ❑ Yes,this section applies
<br /> The replacement of a Residential fixor appliance that meets all three of the following requirements:
<br /> 1. Does not require modifirittion to electrical or gas service.
<br /> 2. Has a total cost of$500.00 or less;exc din the cost of the fixture or appliance:and
<br /> 3. Is i>t ,coved,installed or replaced by the homeowner or licensed contractor.
<br /> Skip next section,if this applies, Cost of Permit $ 15,00
<br /> State Surcharge $ .54
<br /> Mail-In Fee(If Applicable) $ 1.50
<br /> Total Permit Fee
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<br /> If above does not apply;follow guidelines below:
<br /> 1_ CONTRACT PRICE *is L25%of contract price with a(Minimum:Fee of$35.00)
<br /> 7; x.0125$_ 35:619(contract price) (minimum$35.00)
<br /> 2. .TATE SURCHARGE t"Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50)
<br /> x.0005 $
<br /> (contract price) (mmitnum$ .50)
<br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1 50
<br /> 4. TOTA[.,PST FEE (Add Lines 1-3 Above) $�_ 3z•09
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<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 clone. If any material, equipment, labor or installations are f rnisbed by
<br /> the owner, tenant or any other parte,the reasonable market value of such items imist be added to the
<br /> estimated cost or corlct 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 STATE SURCHARGE is.0005 of the Building Department at(952)2494600 for the price.
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<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 statements made on this application are complete, true and
<br /> correct.
<br /> Applicant's Signature: Date:
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