Laserfiche WebLink
' __ _ _-- _ --- � � __ _ _, <br /> PER�'��IIT FEE CALCL'LATTON S <br /> �__ BASED OFF -�002 STATE STATUE j <br /> ❑ Yes,tivs section applies <br /> 'Il�rep]acement of a Residenti��l f'nture or appliance that tneets aIl tlgee of tl�folbwing requi�emeius: <br /> _ _ _. <br /> l. Does not require imdifxation to electricalor gas service. <br /> ?. Has a totalco_st ofS500.00 ar kss;�cchuiu�tl�cost ot d�e frcture or appliance:atxl <br /> _ ____ <br /> 3. Is unproved,�talled or replaced by ilbe hoir�eo�timer or licensed contractor. <br /> Skip r��t section �'tivs applies; Cost ofPemvt $ 15.00 <br /> State Surcharge � 5.Q0 <br /> 1�iailInFee<IfApplicable) $ ?.00 <br /> Total Peinut Fee S <br /> _ _. . __ . .. ........ _ __. . _- <br /> � � � W PERNiIT FEE CALCULAT'ION(S)—JOBS OVER$500.00 <br /> IfaUo��does rwt apph;follo�ti�guyielines belo�v: <br /> 1. CONTRACT PRICE * is 1?59�0 ofconhact price with a(1Vlinimum Fee of S50.00) <br /> 3��� �� <br /> Y.O125 S <br /> (conffact}xie) (miniar�m$SO.U(1) <br /> Z. STATE SLRCHARGE <br /> �.0005 � <br /> (c�x,vacc pr c r) <br /> 3. POST.4GE�HA�IDLING (Only on Ma�1-In Ap�fications) S._____._____,_�T00 <br /> 4. TOT�L PERRZIT FEE(Add L'n�es 1-3 Above) S <br /> — * CONTRACT PRICE or JQB COST n�ans the actual or estnnated dollar ai7nar�t charged ior dle <br /> penrritted�votic uxhadi�g ir�aterials,]abor,profit,and other fiYed costs. It is die amow�t to be charged <br /> to the ctuton�r for the wotic doc�. Ifany nzaterial equ�ineiu, labor or uvtallatioiLs are fimaislied by <br /> dle o�i�ner, tenant or any other party, the reasonaUle ix�rket�ah�e �f such itenr irn�st be added t�the <br /> estnnated cost or contra�t�rice for pei7ivT fee pt�oses. In the e�Rnt that there is a dispute ota tl�e <br /> aimutrt of the job cos� the City it�y request the st�crossion of a si�med copy of tlg achaal rnntract. <br /> MEC:HANICAL PERMIT APPLICATION AGREIIvIENT <br /> The tu�dersi�izd hereby applies to tt� City far i�suance of a Mechatucal Pertmt, a��ec� to do all <br /> �vork in strict accordance �v�h the orduti�nces of the Ciry and d� re�il��cions of t��e State of <br /> Mir�nesota, and certifies ttiat all statements tr�ade on thb applicati�n are corr�plete, t�z�e and <br /> con•ect. <br /> Appficant's Signature: �.1 Date: � ! ��! � <br /> 3 <br />