Laserfiche WebLink
� r . <br /> ���, P�R:'��IIT FEE C?�LCUL�-�I'IOti(S) � <br /> ' B:�SED OFF - 2002 STATE STATliE <br /> ❑ Yes, this section applies <br /> The replacement of a Residentiaf fixturz or appliance that meet;all three of the followin�requirements: <br /> 1. Does not require modit'ication to electncal or gas service. <br /> 2. Has a total cost of 5�00.00 or less; excludina the cost of the tixture or appliance: and <br /> 3. [s improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if�his app(ies; Cost of Permit $ 1�.00 <br /> State Surchar�e � .�0 <br /> i��tail-[n Fee�[f.�pplicable) � 1.�0 <br /> Total Permit Fee � <br /> ' PERI��IIT FEE C�LCULATIO�(S) —JOBS 0�'ER ��00.00 ; <br /> 1T abo�.�e does not apply; follow�uid�,lines below: <br /> l. CO�TR.�CT PRICE * is 1.2�°�0 of con�ract pnc� �ti�ith a(�[inimum Fee of�3�.00) <br /> ��Q�� „L� x.012� � � � <br /> ��oii�rsc[�ricej �:minimum 33�00) <br /> 2. ST.�TE SCRCH_�RGE ** .add the Stace Bld�Code Div. Surcharge (�[inimum Fee of�.�0) <br /> I�O�P�J . W r .000� � 1 � � <br /> leonrrsct pnce) (-runimum� �03 <br /> 3. POST�GE & EI.��;DLItiG(Onlv on ':�[ail-[n Applications) 5 �0 <br /> �. i'OT.aL PEIZ�I[T FEE (.add Lines l-3 .�bove) � �� • ��� <br /> ■ { CONTR.�CT PRICE or IOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted work includin� materials, labor, profit, and other fixed costs. [t is the amount to be charged <br /> to the customer for the work donz. If any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable markzt value of such items must bz added to the <br /> zstimated cost or contract pnce for permit fee purposes. [n the e�ent 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 /> � ** The STATE SURCHARGE is .000� of the Building Department at(9�Z)2�9-�3600 for the pnce. <br /> � MECI�?�NICAL PER�vIIT APPLICATION AGREEIVIEIv�T j <br /> The undersi�ned hereby applies to the City for issuance ot a i�lechanical Permit, a�rees to do all <br /> w�ork in strict accordance with the ordinances of the City and the re�ulations of the State of <br /> �Iinnesota, and �.ertifies a[ ail statements made on this applica[ion are complete, true and <br /> correct. <br /> � �_ � ,�� <br /> _�pplican�'s Si�nature: Da�e: <br /> , <br /> � <br />