Laserfiche WebLink
a s <br /> r <br /> ♦ <br /> FERMIT�`EE CALCULAT'I�N(S) <br /> BASED OFF- 2t1�2 STATE STATUE <br /> ❑ Yes, this section applics <br /> Thc repiacement of a Residential fixture or ap�liance that meets all three of the following reyuire�nents: <br /> l. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixwre or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ I>.QO <br /> State Surcharge $ 5.Op <br /> Mail-In Fee(If Applicable) $ 2.pO <br /> Total Permit Fee $ <br /> . —_� <br /> �������-���:cu�:��Q���)-�oss o�E��s4o.oa � <br /> Il�above docs not apply; [ollow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25 io of contrect price with a(Minimwn Fee of$50.00) <br /> I l,(�. �0 x .0125 $ �O• � <br /> (contract price) (minimum$�11.00) <br /> '?. STATE SURCHARGE Q <br /> x .0005 $ U'�� <br /> (contract p[ice) <br /> 3. POSTAGE& HANDLINC'r(Only on Mail-In Applications) $ 2.00 <br /> �3. 'I'OTAL PERMIT FEE(Add Lines 1-3 Above) $ �'�• � <br /> ■ �'� CONTRACI' PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and o�her fixed costs. It is the amount to be charged <br /> to lhe customer for the work done. If any material, equipment, labor or installalions are furnished by <br /> th� owner, t�oant or any other party, the reasonable market valuc of such items must bc addecJ to the <br /> estimatcd cost or contract price for permit fce purposes. In Ihe event that there is a dispute �rn the <br /> arriount� of thc jo�i cost, thc City may requcst thc submission of a signcd copy of the actual contract. <br /> Ni�CHANiCAL PERN[�T APPLICATI4N AGREEMENT <br /> 1�he undersigned hereby applies to the City for issuance of a Mechanical Permit, agrces to du all <br /> work in strict accordance with the ordinances of the City and the regulationti of the State �>t� <br /> Minnesota, and certilies that all statements ma�le on this application are complete, true ancl <br /> correct. <br /> Applicant's Sigilature: I��GN"�'" Date: �yJ� � O <br /> Reset form <br /> 3 <br />