Laserfiche WebLink
� <br /> PER1VfI'F FEL �ALCUL�,'I'ION(S) <br /> 2002 State StatutA ❑ 'Yes This Section A�plies <br /> Th�replacement of a Residential fixture or appliance that meets aII three of the following requirements: <br /> 1) Does not require modification to elech-ical or gas service. <br /> 2) Has a total cost of��00.00 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 ofPermit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. �'oaa�r�et �'�-i��e* is .0125°io of job with a l0'�gtz�r�i�trz �+ee of(�35 00) <br /> ., <br /> •���`; �=� x .0125 $ �� c,�, <br /> (contract price) (minimum�35.00) <br /> 2. 5tate ,,urchar�e. ** Add the State Building Code Division a Minimram Fee of($ 50) <br /> � <br /> ,������� ��, x .0005 $ �, �,o <br /> (contract price) (nunimum� .50) <br /> 3. P�s�a�e aa�d �Iandl�n� (pyaPy mail-in applicatr.o�rs) � �--- <br /> 4• �'�'�'A�, ����T ��;� (Add lines 1-3 aUove) � �"� <br /> �" <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char��ed for Ihe permitted worlc incl uding <br /> materials,labor,profit,and other fixcd costs. tt is the amount to be charged lo the customer for the work done.If any material, <br /> cquipment, labor,or instalfation is fumisned Uy thc owner,tenant or any other party the reasonable market value of suckt items <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that Yhere is a dispute on the ai��ount of <br /> thejob cost,the City may request the submission of a sigred copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or�.50-whichever is greater.For valuations over <br /> �1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Perniit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Buildin;Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> ) <br /> Applicant's Sign�ture:� ��titi�� �--���_--- Date: �5 �'- � . <br /> , ;, <br /> Approved By; I Date: <br /> 3 I <br />