2013-00035 (mechanical) - Laserfiche WebLink

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. PERMIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE ❑ Yes,this section applies The replacement of a Residential firture or aopliance 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;excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or reglaced by the homeo�vner or licensed contractor. Skip next section, if this applies; Cost of Permit $ 1�.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 below: 1. CONTR4CT PRICE * is 1.2�%of contract price with a(Minimum Fee of�50.00) S �GC%. C%� x.0125 $ � � . �.� (contr�ct price) (minimum 5�0.00) 2. STATE SL'RCHARGE <� ��U, C � x.0005 � � � J (contract price) 3. POSTAGE&HANDLING(Only on Nlail-In Applications) $ 2.00 4. TOTAL PER,'�IIT FEE(Add Lines 1-3 Above) $ ��' I �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted work includine materials, labor,profit, and other fixed costs. It is the amount to be charaed to the customer 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 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 undersigned hereby applies to the City for issuance of a Mechanical Permit, aorees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies , t all statements made on this application are complete, true and correct. � p.- Applicant's Signature: r Date: � - 0 '�J � '- Reset Form` 3