Laserfiche WebLink
� PERI��IT FEE CALCULA`I"ION(Sj � <br /> BASED�OFF - 20t)2 STATE�STATUE <br /> ❑ Yes,this section applies <br /> "I'he replacement of a Residential filture 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$�00.00 or less;excludina the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip ne�t section,if this applies; Cost of Pernut $ li.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> '�'otal Permit Fee $ <br /> PERMIT.FEE CA�C�.3L�.T'�� � -'JC}����'�R��:{�Q: <br /> If�bove does not apply;follow guidelines below: <br /> 1. COIVTRACT PRICE * is 1.2�%of contract price with a(Minimum Fee of�50.00) <br /> ti ZC`-�L9. t�C� x .0125 $ I F1��:�j L� <br /> (contractprice) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> ��G.`�„ ��J w.0005 $ � r t`�j <br /> (conhact price) <br /> 3. POSTAGE&HANDLING�Only on Mail-In Applications) $ 2.00 <br /> � � <br /> �. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ����' � � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pennitted work including materials,labor,profit,and other fited costs. It is the amount to be charged <br /> to the austomer for the work done. If any material, equipment, labor or installations are fumished by <br /> the owner,tenant or any other party,the reasonable market value of such items must be added to thc <br /> estimated cost or contract price for pernlit 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 /> :�� �ECHANICA�,'��.RMIT AP1����T�t��-�.��� ` � �"� <br /> The undersigned hereby applies to the City for issuance of a Mechanical Perniit, agrees to do all <br /> ��-ark in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> conect. <br /> .�'�� �1 �j / � � <br /> Applicant's Signature: ��u-t ! ����� Date: Lc7^ ' �� <br /> Reset Form <br /> 3 <br />