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..� , � <br /> PER1tgIT F�E �ALCLTL�4.'TIO�(S) <br /> 2002 State Statute ❑ �'es This Section�ppties <br /> Th�replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <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 homeowner or licensed contractor. <br /> Skip next section; Cost of Pennit $ 1�.00 <br /> State Surcharge $ .�� <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow gu.ideIines belcw: <br /> 1. �����ae�Pr-iee�� :s .012�% of job wit17 a]`i�rn�rfsurr��'ea� of(��5 �(�l <br /> �� � 4�� .ol�s s �j.a� <br /> (contract price) (minimum�3�.00) <br /> 2. �tate Surct;ar�e. *''Add the State Building Code Division a��irnimum Fee���(� ,50) <br /> u� a'� x .0005 $ � ,(� t <br /> (con�raci price) (minimum� .50) <br /> 3. �'a�s�a�JQ ana ��ndlinQ (��tly nzaiE-�rt applicaEioJrs) � "l�n <br /> ��- <br /> 4� ���'�� ����.���� �'�� (l�.dd lines 1-3 above) � � .�.� <br /> y`CO'�TRACT PRICT or.IOB COST means the actual or e�timated doi]ar amount chareed for the permitted work including <br /> materials,1abor, profit,and other fixed costs. It is Yhe amount to be charged ro the customer for thc work done.If any material, <br /> equipil�ent, labor,or installation is fumished by the owner,tenant or zny other party the reasonable market value of suct� items <br /> must be added to the estimated cost or contract price for pernit fee purposes. In the event that there is a dispute on the amount of <br /> tl�e job cost,the City may request the suomission ot a signed copy of the actual contract. <br /> **The STAT�SliRC1-IARG�is.0005 of the contrzct price under$1,000,000 or�.50-whichever is greater. For valuations over <br /> $1,000,000 call tha Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Perniit,agrees to do all work in strict accordance���ith <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 correct. <br /> A licant's Si /� —� <br /> PP gnature: � � I �� /U -- (�-j <br /> Date: <br /> Approved By: Date: <br /> 3 II <br />