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/ � <br /> ' PI;RI��it't' FEE CAI,CU[_:�TION(S) <br /> 'B.'1SI:D fJ��- 2t)(1? S�":�.TE STATL;E <br /> ❑ Yes,this section applies <br /> The replacentent oY a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modiYication to electrical or gas service. <br /> 2. Has a total cost oY$500.00 or less;e�cludinQ the cost of the fisture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Ship next section,if this applies; Cost oY Permit $ 15.00 <br /> State Surcharge $ 50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> ' �����.;���* �������;'��������.����:���.����.� <br /> If above does not apply;follow guidelines below: <br /> 1 CONTRACT PRICE *is 1.25%of contract price�ith a(Minimum Fee of$35.00) <br /> �.)c° <br /> �� �7 --- � o�zs $ 3g.OJ <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> a.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POS'I'AGE&I-IANDLINC'J(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �•� <br /> ■ * CONI�I2ACT PIZICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernlitted work including materials, labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. IY any material, equipntent, labor or installations are furnished by <br /> the o�iner, tenant or any other party,the reasonable market value oY such items must be added to the <br /> estimated cost or contract price for pennit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the aetual contract. <br /> ■ **The STATE SURCHARUE is.0005 oY the Building Deparhnent at(952)249-4600 Yor the price. <br /> ����A�T���:�«�����'�P����1.�'�(1�;;;�,Cr����' <br /> The �uldersigncd hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> ��ork in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota. and certifies that all statements made on this application are complete, true and <br /> corrcct. /— <br /> U <br /> Applicant's Signature: Date: /V � � <br /> Reset Farm <br /> 3 <br />