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_• _ <br /> �'E�Z1��I'Z' FE� �ALCLTLA i I�?�(S) <br /> �002 �ti�t� Slat�aSe ❑ �'es '�'his �ec�ion�i.ppdies <br /> The replacement af a P.esidential f.:ture or appliance that meets all tnree of the following requirements: <br /> l) Does not requir�modification to elecn-ica] or gas sen�ice. <br /> 2) Has a total cost of�500.00 or less; excludin� the cost of the fixture or applianee: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Slcip next section; Cost of Pennit $ I 5.00 <br /> Staie Surcharge $ .50 <br /> Mail-In Fee � 1.�0 <br /> If above does not apply; foilow auideiines below: <br /> �• ��ata�p'��t ��'a�e'� is .0125°io ofjob with a l�'�b���mum �+ee �f(��Se001 <br /> ;�7���<�C�,� � .O l 25 $ �'�.��S <br /> (contract price) (minimum$35.00) <br /> 2. �ta�e �«rck��r��e. �°* Add the State Buildin�Code Divi.sion a I�ir�Btz��rn �'ee �$'(� 5d} <br /> ���'�� `:' X .���J � �� �� <br /> (contract price) (minimum� .50) <br /> 3. �"Qs�aae anc��andliia� (��aly rrzrcet-irt ap�Iications) � _.� <br /> �• �'����� ���'���"�'�'�� (Add Iines 1-3 above} � �f,� �; <br /> *CONTRACT PRiCB�or JOB COST means the actual or esCimated dollar amount ch�rged for the permitied wori<including <br /> materirils,labor, profit,and other fixed cosCs. It is the amount to be charged ro the customer for the work donc. If any mat�rial, <br /> equipment, labor,or insCallation is furnished by the owner,tenant or any other party t}�ie reasoi�able market value of sucta items <br /> must be added to tne estimat:ed cost or contract price for permit fee purposes. In tne event that there is a dispute on the amount of <br /> thejob cost,the City may request the submission oi a si�ned copy of the actual contract. <br /> **Thc ST,ATE SURC}-IARGE is.0005 of the contract price under$1,00U,000 or 5.�0-whichever is greater. For valuation;over <br /> �I,OG0,000 call the Departmcnt of Inspectional Services for the price. <br /> The undersigned hereby appli�s to the Ciry for issuance of a Mechanical I'et�i�it,a�rees to do afl worl<in strict accordance with <br /> the ordinances of the Ci?y and the regulations of the Minncsota State t3uilding Code,and certifies that al]statements made on this <br /> application are complete,true and c ect. <br /> Applicant's Signature: -- ��, C Date: 1�/C �� <br /> �- <br /> Approved By: Date: <br /> � � � <br />