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.t � � � . . - � . . �� � . - <br /> f��,} ,nc�'j�-;�'t a +,� ,�.�, 7 � . �� . <br /> �f ��L,. �,� ,�����3��}���.�= t"�.xu�'ft,�P�l`1V1i1 1`�C�V��f��'1�1V���> �Y'�v.�� s"�r,}r '�.�:��Tc � t,�'�' �+.n,.j.,�e . <br /> - B�SEij.'OFF.;�2002.�STATES`EATU�s,�.�¢�_ ��:��;��r y`�'' �.��; <br /> .���� <br /> � .Yes,tlus section applies � <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> � 1. Does not require modificarion to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludine 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 $ - .50= <br /> Mail-In Fee(If Applicable) $ ' 1.50 <br /> - Total Permit Fee � <br /> ��y � �_ _ .�r:�PERMIT.FEE C�LCUI;A`�IONJ(�} ;1JOB,S,OVER,$500:00�.-�'.� ���� ��� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> 7 �� x.0125$ <br /> (contract price) (minimum�35.00) <br /> � ` . ' x_;: '" . <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50) <br /> x.0005 $ <br /> (contract price) (minimum� .50) <br /> - 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> : 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej � <br /> • � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernzitted 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 materiai, equipment, labor or installations are fiu•nished 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 puiposes. In the evenf 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 actual contract: <br /> ' **The STATE SURCHARGE is.0005 of the Building Department at(952) 249-4600 for the price. <br /> -f -Z p1�.� � , , . . �.�. . <br /> .� ;..;. ,>..�;..MECHANICA�-PERMI'T.APPL.TCATIO�f AGREEIv1EI�T`�5�`-�i ���'` "� �=, . <br /> - • :������::,� ,;� <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 City and the regulations of the State of � <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. ., <br /> Applicant's Signatur • Date: ��Z�``O <br /> 3 <br />