2014-00042 - mechanical - Laserfiche WebLink

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� . � PERMIT FEE CALCLTLATION(S) BASED OFF - 2002 STATE STATUE ❑ Yes, this section applies The replacement of a Residential tixture or appliance that meets all three of the following requireinents: I. Does not require moditication to electrical or gas service. 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and 3. Is improved,installed or replaced by the homeowuer or licensed contractor. Skip next section,if this applies; Cost of Permit $ I 5.00 State Surcharge � 5.00 Mail-In Fee(If Applicable) $ 2.�0 Total Permit Fcc � PERMIT FEE CALCULATION S —JOBS OVER $500.00 If above does not apply; ti�llow guidelines below: I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) >9 ��" C?G�O- ✓ X .oi2s � ��1 , ��i' (contract price) (minimum$50.00) 2. STATE SURCHARGE �-- � �.- ,-,' )C�'�' x .0005 $ Z. �' � (con[ract price) 3. POS'I�AGE&I�iANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � �, � ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs It is the aniount to be charged to the customer for the work done. If any material, equipment, labor or installations are fumished by the owner, tenant or any other party, the reasonable market value of such ite►ns inust be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. MECHANICAL PERMIT APPLICATION AGREEMENT The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. � Applicant's Signature: �,M�� Date: � � / 3