2011-00781 - mechanical - Laserfiche WebLink

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. PERiVIIT FEE CALCULATION(S) BASED OFF -2002 STATE STATUE � � Yes,this section applies The replacement of a Residential fixture or appliance that meets all three of the followintr requirements: 1. Does not require modification to electrical or gas service. ?. Has a total cost of$500.00 or less; etcludin�the cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit � 1�.00 State Surcharee $ �.00 � � Mail-In Fee(If Applicable) $ 2.00 � Total Permit Fee $ PERMIT FEE CALCU'LATION(S)-JOBS OVER$500.00 If above does not apply;follow ouidelines below: 1. CONTR�CT PRICE * is 1?�%of contract price with a(NIinirnum Fee of��0.00) �O oZ�d. �� x .0125 � � � • �� (contract price j (minimum$�0.00) 2, STATE SL�RCH_ARGE �* Add the State Blda Code Div. Surchar�e(vlinimum Fee of 55.00) �a D a. �o X .000s � 3 , 1 0 (contract pnce) (minimum$5 00) � 3. POSTAGE&HANDLI?vG(Only on Niail-In Applications) $ 2.00 �. TOTAL PERMIT FEE(Add Lines l-3 Above) $ �� ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted work includin� materials, labor, profit, and other fiYed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor or installations are furnished bv the owner, tenant or any other pam�, 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 sitrned copy of the actual contract. ■ ** The ST�TE SLTRCHARGE is .0005 times the Contract Price or a minimum of�5.00. MECHAI��ICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance oi a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. • Q -l� Applicant's Sianature: Date: �' � Reset Form ;