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. <br /> . <br /> , ���-���`�������"��'��'�' ���PERIvII'I�FEE_C.AI;CtTL�'A�TION�S) � ;� , < ; _{ �. <br /> y�i:�s Y. � � i: .� :- n ,�� -, t i c �. q -El >i� � . <br /> ; r=� _ BASED;'OFF �24Q2;�'I`ATES`�ATLT���;�� ���a��`������'�+.�����..�� <br /> . . _ ' t _6«' o;."w„�'�-SY.�i�:�.>',5,.a fY�:4�.�'S'":s� . <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 requue modificarion to electrical or gas service. ` � <br /> 2. Has a total cost of$�00.00 or less;excludin�the cost of the fixture or appliance: and <br /> ;r � ;3... Is improved,installed or replaced by the homeowner or licensed contractor. " <br /> � � . Skip next section,if this applies; Cost of Pernut $ 15.00� <br /> � <br /> ~ _ State Surcharge $.- .50 <br /> _ Mail-In Fee(If Applicable)� ' $. ' 1.50 .' <br /> ` Total Permit Fee $ <br /> ,��� �`�'�'�, ���PEI?NII'�';.FEE.�.�LCT�I;A`�IOI�� "`'�� t �: <br /> ( ).:�TO�S�;O�ER��500`00�.�;��.�'��;��;,�. <br /> If above does not apply;follow guidelines below: <br /> � ; ' L CONTRACT PRICE *is 1.25%of contract price with.a (Minimum Fee of$35.00) ` . �, <br /> � � <br /> ' �.- , G ' ` . <br /> : � <br /> _ (�.�� .._ x.0125$ : ,. . , <br /> (concract price) (minimum$35.00) : ''� <br /> 2. STATE SURCHA,RGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) ' <br /> _ x.0005 $ <br /> (contract price) (minimum S .50) <br /> : -- 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $ � <br /> • � * CONTRAC'T 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 fumished 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 puiposes. 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 con�act: <br /> • : **The STATE SURCHARGE is.0005 of the Building Deparnnent at(952)249-4600 for the price. <br /> �� � �'�i` � ;:.�{MECHANICA�PBRMIT`APPL`TCATTON4AGREEMEI�,�������s �i � '�K- _ � <br /> ,r . �, . ,.. <br /> -.. . �. �..::,��,r� <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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 made on this application are complete, true and <br /> correct. <br /> ( <br /> Applicant's Signature: _ Date: � Z � <br /> 3 <br />