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. <br /> ', i���" F ��� A ��,' }?I;RMI'1`�'F[; CAI,CULA`1�ION S -- - - <br /> � �� ,�� ,. �,��� <br /> �#� � �- Y �' r3�sEr.� o�,� - Zoaz s�r��°��E s��n�rc��. <br /> ❑ Yes,this section appiies <br /> The replacement of a Residential fixture or appliance tl�at m ets all three of the following requirements: <br /> 1. Does not require modification to electric�l ar g s service. <br /> 2. Has a total cost of$500.00 or less;exclu in=t e cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the ome wner or licensed contractor. <br /> Skip next section, if this applies; Cost o Perinit $ 15.00 <br /> State urcharge $ .50 <br /> Mail-[ Fee(If Applicable) $ 1.50 <br /> Total ermit Fee $ <br /> � �i r� �;�� � � s <br /> G� ;���� ��.� ��� }���,� t ���?. � :ss �vcx $so,.,���- ,� �„ <br /> If above does not apply; fol(ow guidelines below: <br /> I. CONTRACT PRICE * is ].25%of contract rice with a(Minimum Fee of$35.00) <br /> 9,000.00 I t 2.50 <br /> x.0125 $ <br /> (contcact pri e) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bld Code Div. Surcharge(Minimum Fee of�.50) <br /> �,000.00 x .0005 g aso <br /> (contract pri e) (minimwn$ .50) <br /> 3. POSTAGE&HANDLING (On(y on Mail-In Ap lications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 118.50 <br /> • * CONTRACT PRICE or JOB COST means the actu or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and ot er fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equ pment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable ma ket value of such items must be added to the <br /> estimated cost or contract price for permit fee purpose . In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submi sion of a siened copy of the actual contract. <br /> ■ **The STATE SURCHARGE is .0005 of the Building epartment at(952)249-4600 for the price. <br /> ��,�� � � � �x�ti : �� a <br /> �' � ��� F �� �:.r. � � � �"' - .�. ���•�• <br /> ,�� �... �x ` <br /> . i:� <br /> . , ...:� ._ . ,.^ .. <br /> t t <br /> The undersigned hereby applies to the City for issuanc of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the ity and the regulations of the State of <br /> Minnesota, and certifies that all statements mad on this application are complete, true and <br /> correct. <br /> 1 <br /> Applicant's Signature: ��/6�� '� '�' Date: �� U (}�v <br /> f d <br /> �Reset Form �� <br /> 3 <br /> I <br /> i <br />