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<br /> ❑ Yes,this seciion applies
<br /> T'he repiacement of s itesidential fixture or anvliance that ineets ail three of the following requirements:
<br /> 1. Does not require modification to electrical or�as service.
<br /> 2. Has a totai cost of$500.00 or Iess;exci ' the cost of irhe fi�ctuce or appliance:and
<br /> 3. Is improved,installed or replaced by the Y�omeowner or liceused contractor.
<br /> Skip next section,if this applies; Cost of Permit $ 15.00
<br /> State Surcharge $ .50
<br /> Mai1-In Fee(If Applicable) $ 1.50
<br /> Total Permit Fee $
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<br /> If above does not apply;follow guidelines below:
<br /> I. CONi'RACT PR10E �is 1.25°/a of conttact grice with a(Miaimum Fee of�35.00)
<br /> 6
<br /> DG�� x.0125$
<br /> (coatract ' ) (minauum 535.00)
<br /> 2. STATE SURCHARGE '*Add the State Bldg Code Div. Swcharge(Minunum Fee of 5.50)
<br /> x.0005 $
<br /> (COtIh7CL�� (minimUQl� .$0�
<br /> 3. POSTAGE&F�ANDLING(On1y on Mail In Applicarions} $ 1.50
<br /> 4. TOTALPERNIIT FEE(Add Lines 1-3 Above) S
<br /> ■ �` CONT'RACT PRICE or JOB COST means the acwal or estimated d�llar amount chargeci for the
<br /> petmitted wark including materials,labor,profit,and other fixed costs. It is the amount to be charged
<br /> to the customer for the work done_ If azi}+material,equipment,labor or installati�ns are furnished by
<br /> the owner,tenant or any other party>the reasonable market value of such items must be added to the
<br /> estimated cost ar contract price for peYmit fee purposes. In the event that there is a dispute on the
<br /> amount of the job cost,the City may request the submission of a sig�d copy of the actual contract.
<br /> ■ '*The STATE SLJRCHARGE is.E�OUS of the Buiiding Department at(952)249-4600 for the price.
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<br /> 'The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all
<br /> work in strict accordance with the ordinances of the City and the regulations of the State of
<br /> Minnesota, and ceriifaes that all statements made on tlus application are complete, true and
<br /> correct. �
<br /> Apglicant's Signature: C D�; �� �� " �
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