2011-01071 - mechanical - Laserfiche WebLink

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PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATLJE ❑ Yes,this scction applies The replacement of a Residential fixriire or appliance that meets all three of the following requirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appiiance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this app(ies; Cost of Perniit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION S -JOBS OVER$500.00 If above does not apply;follow guidelines belo��: l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) 9059 x.o,25� 113.24 (contract pricc) (minimum$50.00) 2. STATE SURCHARGE g059 4.53 x.0005 S (contract pricc) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $119.77 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted�vork including materials, labor,profit,and other fixed costs. It is the ainount to be charged to the customer for the work done. If any material, equipinent, labor or installations are furnished by the owner, tenant or any other party, the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. 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 the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undcrsigned hereby appiies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the Ciry and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. `�-- 9/7/11 Applicant's Signature: Date: Reset Form 3