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• • i � <br /> ❑ Xes,this section applies <br /> Thc rtplacement of a R.ctiidaniiai fixtvre or applian�tPis�t meets nll three of the following rcquircmcnta; <br /> �. Docs not require modificatioa to eleetrical or gas service. . <br /> 2, Has a total cost of$500.00 or less;excludine thc cost of the fixcure or appliance:and <br /> 3. Is unproved,i.nsialled or replaced by the homeownez oT licensed con�actor. <br /> Skxp z�ext Section,if this applies; Cost of Permit $ 15_00 <br /> Statc Surchacge $ .50 <br /> Mail-In Fcc(Tf Applicable) $ Z•QO <br /> Tota1 Permit Fee S <br /> , <br /> If above does not apply; follow guidelines bclow: <br /> 1. CONTRACT F�CE �is 125°/a of contract pz�ice wSth a(Miuimum Fee of 550.00) <br /> . �� � <br /> ' x.0125� <br /> (conn•act pricc) (minimum$i0.00) <br /> 2. STATE SiJRCHARGF. "'"'Add the State Bldg Code Div. SitTchazge(Minimum Fee uf 5.50) <br /> x.0005 .$ .._,_, . <br /> (contrrrct price) (minimum$ .50) <br /> 3. POSTAGE&HANDLZNG(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL P�RM�T FE�(Add Lines'1-3 AboVe) $ <br /> ■ * CONTR.ACT PRICE o'r 70B COST means the actual or estimated dollar amount chazged for tt�e <br /> penninmd work including�materials, lubor, profit,and other fixed coats. It is the amount to be ch�rged <br /> to the customer for the work donc. Tf any materi,al,.equipmezat, laboz or imstallations arc fiunishcd by <br /> the owner,tenant or any ott�er parry, the reasonable market value of such itcros must be added �o the <br /> estimated cost or contract pzice for permit fee purposes. In the event that there is a daspute on thc <br /> amount of the job cos� the Ciry may request thc submission of a signzd eopy of the actual contract, <br /> ■ **The STATE SURCH�RGE is .0005 of the Buzlding Dzpartmen,t at(952)249-4600 for the price. <br /> The undersigned llereby applies to the City for issuance of a Mechanical Pemiit, a�ccs to do all <br /> work in strict accordazxcc with the ordinances of the City and the regula�ions �f the State of <br /> Minnesota, and certifies that all statements made ,on this application are compaete, ixue and <br /> correcl.. ' <br /> � <br /> A licant's Si ture: Date: �/ a� �� <br /> PP � <br /> 3 <br /> b�b�d 9T9b6bZZS6�01 �W0�1� d60�ZZ BSOZ-9Z-�(lI' <br />