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. � � <br /> �E�1� �E� �az.cuz,�,T�a�v�s� <br /> 2002 State Statute ❑ �es This Section�ipplies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1) Does not require modification to electrica] or gas ser��ice. <br /> 2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowmer or licensed contractor. <br /> Skip next section; Cost ofPermit � 1�.00 <br /> State Surcharge � .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follo«�guideiines belaw: <br /> fl. �'o�a�r-a�t �'a•ace'� is .012�% of job w�ith a 1��in�n��zm Tec of��?5.0(�) <br /> 7L����� .� x .0125 � ��_ �.-> <br /> (contract price) (minimum$35.00) <br /> 2. �tate Surck�arQe. **Add the State Building Code Division a��,irnimurrfl Fee of($ SE�) <br /> `��» �Y� k .oaos $ /, �-> <br /> (contract�price) (minimum� _50) <br /> 3. �'c�s�a�e and I�andiing (��ily rrzail-ijt appdicatioras) � ��-� <br /> 4• '�'�'�'�� �'��IT' �'E� (�dd lines 1-3 above) � ;5��n; <br /> �`CO?�TRACT PRICT or 10B COST means the actual or estimated doila�amount charged for tne permitted work inciuding <br /> materials,labor,profit,and other fixed costs. tt is the ainount to be chargcd to the customer for the u�ork clone. If any material, <br /> eyuip�7ient, labor,or installation is furnished by thc owner,tenan±or any other party the reasonable market value of sucl� items <br /> must be added to the estimated cost or cont;act price for permR fee purposes. In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a si�ned copy of the actual contract. <br /> **Tnc STAT�SLRCHARGG is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersiened 1lereby applies to the City for issuance of a 1vlechanical Pennit,agrees to do a(I work ir,strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correc[. <br /> �� <br /> Applicant's Sign ure: � � - ' Date: l 3 �r <br /> Approved By: � I7ate: <br /> 3 I! <br /> ���i� <br /> �'ii , <br />