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*, t� ,Ut 31"�'a 0 .— uv iia 7i. h ,' 0 ' r `�> + <br /> XPi � ia4d;"i 4 EDQFF .200 TA TA sG �' � �� �� i <br /> 116 <br /> Y-s,this section applies <br /> T e replacement of a Residential ixture or a.'fiance that meets . three of the following requirements: <br /> 1. Does not require modification to .-• ical or gas service. <br /> 2. Has a total cost of$500.00 o -ss;exc ..in i the cost of the fixture or appliance:and <br /> 3. Is improved,installed . eplaced by the ho 'eowner or licensed contractor. <br /> Skip next sec 'en,if this applies; Cost of Pe it $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> % '',4?'..,�r'1s�'`� °10,l 7 +1 .. c ' ALC O 0 -- -, `'ary. ,ua... <br /> x I PATI JOBS OVER 500.0 , <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 /> tir t2t 'Cd x.0125 $ / So./D <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> 0 ii-/ or x.0005 $ 6_e0 <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ tsr./`1 <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 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)249-4600 for the price. <br /> "'"'' '4'""'' MECHANICAL PERMIT APPLICA' TQ T"AGREEMENT <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 /> &(...1e <br /> Applicant's Signature: � Date: //.--7-- <br /> Z I-/o <br /> R`#'se F411 Ci. <br /> 3 <br />