2003-P06543 - mech - Laserfiche WebLink

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' ,,.,.. ' . I PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or appliance that m ets all three of the following requirements: 1) Does not require modification to electrical r gas service. 2) Has a total cost of$500.00 or less; excludin the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the ho eowner or licensed contractor. Skip next section; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 F If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fe of $35.00 �/�'v .•i�> x .0125 $ _��_�� (contract rice) (minimum$35.00) 2. State SurcharEe. ** Add the State Building Code Divisi n a Minimum Fee of($ .50) -�:� ��.� X .000s $ /. .lf� (contrac price) (minimum$.50) 3. Postage and Handlin�(Only mail-in applications) $ 1�$, _� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� ./�= *CONTRACT PRICE or JOB COST means the actual or estimated do( r amount charged for the permitted work including materials,labor,profit,and other fixed costs.It is the amount to be char ed to the customer for the work done.If any material, equipment,labor,or installation is furnished by the owner,tenant or an other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purp ses. In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of th actual contract. **The STATE SURCHARGE is.0005 of the contract price under�1,0 0,000 or$.50-whichever is greater.For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersiened hereby applies to the City for issuance of a Mechanica Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State B ilding Code,and certifies that all statements made on this application are complete,true and ect. Applicant's Signature: ' ,� Date: ��-�.SG� s' Approved By: Date: 3