Laserfiche WebLink
07-41-'16 09:28 FROM- FIRESIDE T-220 P0003/0004 F-733 <br /> < <br /> ❑ Yes,this section applies . <br /> The replacement of a Rcsidential tixture or appliance that meets all three of the Following reQuirements: <br /> l. Doos not rtquirc modification to electrical or gas service. <br /> 2. �Tas a total cost of$500.00 or less;cxcludinQ the eost ofthc fixture or appliance:and <br /> 3. Is improved,installed or replRced by thc homcowncr or licensed contractor. <br /> Skip next section,if Chis applies; Cast of Permit $ 15.00 ' <br /> State Surcharge $ S.OQ <br /> Mail-Tn Fec(Tf Applicable) � 2.00 ` <br /> Tot�l Perm9t H'ee 5 4 <br /> � <br /> If above does not appiy;foliow guidclincs bclo�v: � <br /> � <br /> 1. CONTRACT pRCC� '"is 1.25%of contract price with a(Minimum�ee of�30.00) 1 <br /> g,��'�. �° �.o�zs$ � � �° ' <br /> (contract pricc) iuimum Sso,oO)�' � <br /> 2, STATE SURCHARGE c� �l1� � d <br /> . (}���_t G� . 11 x.0005 $_ � � <br /> l (contract price) � <br /> 3. POSTAC�Sc NANbL1N'Cr(Only on Mai1-Tn Appl'rcations) $ j, a• � <br /> f2� zv � <br /> 4. TOTAL PERMIT F��(Add Lines 1-3 Above) $ / � { <br /> � <br /> ■ * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work sncluding m9terials,labor,profit,and other fixed costs. It is the amount to be charged " <br /> to the customer for the work done. Cf any material,equipnzent, labar 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 eontract price for permrf fee purposes. In the event that khere is a dispute on the i <br /> amount of thc job Cost, the City may request the submission of a si�ned copy of the actual contract. ' <br /> i <br /> - , � <br /> i <br /> i <br /> I <br /> The undersigried hereby applies to the City for issuance of a Meclzanical Permit,agrees to do all <br /> work in strict accordance with the 4rdinanees of the City and the regulations of the State of <br /> Minnesota, and cerCifies that all statements made on this Application are cornptete, true and i <br /> correct. I <br /> Applicant's Signature: ' �2� Date: '��` �� <br /> 3 <br />