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<br /> ❑ Yes,this section applies
<br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements:
<br /> 1. Does not require modificarion to electrical or gas service.
<br /> 2. Has a total cost of$500.00 or less;excludine 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 Pemut $ 15.00
<br /> State Surcharge $ .50
<br /> Mail-In Fee(If Applicable) $ 1.50
<br /> Total Permit Fee $
<br /> _ ��-�� -'�_���� __-;� -� � f�. = .����_FV �.ca1��-��'•���'-t+.�— -�w���
<br /> If above does not apply;follow guidelines below:
<br /> 1. CONTRACT PRICE �`is 1.25%of contract price with a(Minimum Fee of$35.00)
<br /> 2,500.00 x.0125$ 31.25
<br /> (contract price) (minimum$35.00)
<br /> 2. 5TATE SURCAARGE **Add the State Bldg Code Div.Surcharge(Minunum Fee of SSO)
<br /> 2,500.00 x.0005 $ 1.25
<br /> (contract price) (minimum$ .50)
<br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50
<br /> 32 50
<br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $
<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 fumished by
<br /> the owner,tenant or any other party,the reasonable market value of such items must be adcied 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 STA'TE SURCHARGE is.0005 of the Building Department at(952)249-4600 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: 'it � Date:����S
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