Laserfiche WebLink
� - � .. <br /> - � <br /> + • e <br /> �'ER1�I'd'FEE C'ALC€,TLATION(S) <br /> 20�2 �tat� Statute ❑ 1'es This Seetion A�piies <br /> The replacement af a Residential fixture or a�pliance that meets all three of the following requirements: <br /> 1) Does not require modification to elech-ical or gas service. <br /> 2) Has a total cost of�500.00 or less; excludin� the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follew guidelines below: <br /> 1. ���a����t 3��-ice* is .0125°ro of job wit}7 a ]!'3in��a�um �'ec� �f���5.00) <br /> ,� �c.�,c.���x .0125 $_ _��.��- <br /> (contract price) (minimum�35.00) <br /> 2. �tate Surc��ar�e. ** Add the State Building Code Division a 1�'Iiraimtarm �ee of�($ .50) <br /> J��%.�� x .0005 $ �- .� � <br /> (co»tract price) (minimum$ .50) <br /> 3. �'asta�e and Handl'an� (C3rily mczi[-irr applicatio»s) � _ �� <br /> � <br /> 4. '�'Q'�'AL F��:?�F�T' �'k;� (Add lines 1-3 above) � S S'. 5� <br /> '� CONTRACT PRICE or JOB COST mear,s d1e actual or estimated dollar amount charged for the permitted worl<including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment, labor,or installation is furnisned by the owner,tenant or any other party the reasonable market value of suct� items <br /> must be added to the estimated cest or contract price for permit fee purposes In the event that there is a dispute on the ainount of <br /> thejob cost,the City may request the submission of a signed copy of the actual contract. <br /> **The STATE SliRCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over <br /> �1,000,000 calI the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on t11is <br /> application are complete,true and correct. <br /> �'� <br /> Applicant's Sig�ature: � '� � - � <br /> -_ "�-, ` ���-- Date: :�� ��7-�k <br /> Approved By: � <br /> Date: <br /> 3 <br />