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- _ _ _ " " ��(y,��(, ¢ - il^Y�� ' j� ' - `.:4:v':r. - " _ _� . _ <br /> , _ _ _ ar,��'��'1+r����.���� �;,' ] �'; ..:�F:=?- __ " _ - __ __- ' _ <br /> _ "- - �?;" - .,F a- v�Q;r�.` ,��� `.f�\� - _ "M..�. _ _ . _ <br /> " " _ - it��'��>1 y� � ` i!J�r,j�"� _ ___ _ _ - ���:�Fi..�`�``.li**i���'�Alf: � <br /> _ - _ �,.C(�i,�r �•,'�`°r �i, .�t"�;{1�.�':`;�I,o-�.,�.^Cd..� 'l�i-�-i . � <br /> - -_ _ - - -�. _�.,-.. - .���'�=�1'." ✓�.. ,�;c,..mr q.�;... <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or anuliance that meets all tlu�ee of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total co of$500.00 or less;excludine the cost of the fixture or appliance:and <br /> 3. Is improv�,installed or replaced by the homeowner or licensed contractor. <br /> Skip next secrion,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applic�ble) $ 1.50 <br /> Total Permit F� $ <br /> ���� �''',,����:���'��,�`r,:'.�:,.����''��:���:�� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTItACT PRICE *is 1.25%of con�price with a(Minimnm Fee of$35.00) <br /> �/� x.0125$ �� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimam Fee of$.50) <br /> x.0005 $ a 7� <br /> (comract price) (minimum$ .so) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PE1tMIT FEE(Add Lines 1-3 Above) $ <br /> a <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 Sxed costs. It is ffie amou�t to be chazged <br /> to the customer for the work done. If any material,equipment,labor or installations are furnish�by <br /> the owner,tenant or any other party,the reasonable mazket value of such items must be added to the <br /> estimated cost or cont�act 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 SURCHARG�is.0005 of the Building Departmeirt at(952)249-4600 for the price. <br /> � ' - ��':�.131'�.-Y-Y�1;i�d'lA�..�-�t0.�171,�+�,�-�:�`�k+��;���.�.'�e�': ��.��- - - <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 Sta.te of <br /> Minnesota, and certifies that a11 statements made on this application are complete, true and <br /> cortect. <br /> � - 1Applicant's Signature: . Date: � <br /> ,,��s'et'� . . _. <br /> 3 <br />