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2012-00509 - mechanical
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1055 Ferndale Road West - 02-117-23-43-0029
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2012-00509 - mechanical
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Last modified
8/22/2023 4:10:57 PM
Creation date
9/9/2016 12:29:12 PM
Metadata
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Template:
x Address Old
House Number
1055
Street Name
Ferndale
Street Type
Road
Street Direction
West
Address
1055 Ferndale Rd W
Document Type
Permits/Inspections
PIN
0211723430029
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/ � f'I� <br /> / <br /> : PERMIT FEE CALCULATION(S) <br /> !BASED OFF -2002 STATE�TATUE <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fixture or anpliance that meets al]three of the following requirements: <br /> 1. Does not require modification to electricai or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture 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 $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ 22.00 <br /> � PERMIT FEE CALCULATION(S)-JO S OVER$500.00 -� <br /> If above does not apply; follow guidelines below: <br /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ��/5S� X .oi2s $ � �. � <br /> (contract price) (minimum$50.00) <br /> 2. STATE SIIRCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of55.00) <br /> �f../ / <br /> ( ��� x.0005 $5.00 <br /> (contract price) (minimum S 5.00) <br /> 3. POSTAGE& HANDLING(Only on Mail-ln Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-� Above) $ ���O� <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor 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 contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$�.00. <br /> MECHAl'�ICAL PERMIT APPLICATIQN AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the Ciry and the regulations of the State of <br /> Minnesota, and certifies that all em' nts made on this application are complete, true and <br /> conect. <br /> ,-, <br /> Applicant's Signature: � Date: � �l 'z <br /> Reset Form 3 <br />
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