Laserfiche WebLink
a <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> ❑ Yes,this section appiies <br /> The replacement of a Residential firture 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$500.00 or less;exctudinQ the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeo�vner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 1�.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S —JOBS OVER $500.00 1 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of��0.00) <br /> 3�-� LC� . C��� x .oi2s $ �C� ,c,�c-� <br /> (conrract price) (minimum S�U.00) <br /> 2. STATE SURCHARGE <br /> � � <br /> ���C:�• — -- x .0005 $ J � � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on ivlail-In Applications) $ 2.00 <br /> 4. TOTAL PERII�IIT FEE(Add Lines 1-3 Above) $ j J •• �� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charQed for the <br /> permitted work includine 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 /> MECHANICAL PERMIT APPLICATION AGREEMENT <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 t all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: l 'L']/y � s ��'Date: r� �� / Z <br /> / �`._ <br /> i � <br /> Reset Form� � <br /> 3 <br />