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c <br /> , � � � � � � PERMIT FEE CAI1Ct1LATTON(S) � ��� � <br /> ' � � � �� ��BASED OFF -2402 STATE STATUE � � <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and <br /> 3. ls improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies, Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ I.50 <br /> Total Permit Fee $ <br /> � �F.ic1�1I i FEE i,r'�i,CUi.I�Tiaiv`(S j—3�BS �VEt2 aSGu'.�u <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> �� �3c� X.0�25 $ � � - <br /> (contract price) (minimum$3�-00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(n9inimum Fee of$.50) <br /> ��3� X.0005 � �-�C � <br /> (contract price) (minimum$ �0) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ L50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � _!��� <br /> ■ * CONTRAC'r PRICE or JOB COST means the actual or estimated dollar amount charged 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 /> ■ ** The STATE SLJRCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION A�"..�E��MENT <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 all statements m e on this application are complete, true and <br /> correct. , <br /> Applicant's Signatur • G'D�C2t 1 � <br /> Reset Form <br /> 3 <br />