Laserfiche WebLink
PERMIT FEE CALCULEITION(S) <br /> �� BAS�D OFF — ��OZ STATE�S"�'ATI�E <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and <br /> 3. [s improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,ifthis applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> ' PER11��T FEE CALCULA = <br /> �,.... � �� � <br /> - � � ��� � ,����� � _ <br /> �;,����.��������U€}.Ot?� � .���. <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) <br /> 5(_.!�, C� X.�I 25 $ (�P � ��"C�J <br /> (contract price) (minimum�50.00) <br /> 2. STATE SURCHARGE -. <br /> �� � (�U x.0005 $ ,/� � S� <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ LQ�. � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dol!ar amount charbed for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations 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 or contract price for permit 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 signed copy of the actual contract. <br /> � : ,- ��3. »> ;�z...`���,'�ANI�AL'PERNIIT � ' � �„,,; ��� �� <br /> � � : � a a�� <br /> � .. , ... ... :.. �� <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 certifies that atl statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: � a'� �� <br /> Reset Form <br /> 3 <br />