2015-01341 (mechanical) - Laserfiche WebLink

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f PERMIT FEE CALCULATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this seclion applics Thc replacement of a Residential fixture or appliance that meets all three of the following requirements: 1. Does not require moditication to electrical or gas service. 2. Has a total cost ofi$500.00 or less; exclti�lin�the cost of the tixture or appliance: and 3. Ts improved, installed or replaced by thc homeowner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 15.00 State Surcharge $ 1.00 Mail-In Fee(If Applicable) $ 2.00 Total Permit Fee $ PERMIT FEE CALCULATION(S) —JO}3S OVER $SOO.UO � lf above does not ap�ly; full�w guidelines below: 1. CONTRACT NRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) ,,.�.5,C'X�� x .0125 $ y�7 �� (contract pricc) (roinimum$gp.pU) 2. STATE SURCHARGE �� x .0005 $ � �, �D (contract pricc) 3. POSTAGE &HANDLING (Only on Mail-lu Applications) � 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� Od ■ * CONTRACT PRiCE or JOB COST means the achial or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixcd costs. It is the amount to be charged to thc customcr for the work done. If any material, equipment, 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 ur 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 subrnission of a signed cupy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigncd hcreby applies to the City for issuance of a Mechanical Permit, agrecs to do all work in strict accordance with the ordinances of the Ciry and the regulations of the Statc of Minnesota, and certities that all statements made on this application are complete, true and correct. Applicant's Signature: Date: � � � ��;,, 3