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. , � <br /> PERIVTIT 1�EE �ALCIJLATION(S) <br /> 2002 ��ate Statute ❑ �'es This Sec�ion A.ppties <br /> The replacement of a Residential fizture or appliance that meets all three of the foIlowing requirements: <br /> l} 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, instalted or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Pernzit $ I5.00 <br /> State Surclzarge � .50 <br /> Mail-In Fee $ I.50 <br /> IL above does not apply, follo��guideiines belew: <br /> 1. �an�F'a�t ��-i���� :s .0125% of job w�ith a;�inem�€m �'ee�f(�35 pp� <br /> �i�-��� - x .0125 � ��� ��� <br /> (contract price) (minimum�35.00) <br /> 2. �tate Sureharae. *� Add the State Buildin�Code Division a�ir�irrat�m �'ee of($ .S�l <br /> "� - � <br /> .�__� ����� c�� x .0005 � �_ ,,,.)' <br /> (co��tract price) (minimum$ .50) <br /> 3. Postage and ��ndiina (F'Ssily nirrit-ifi ap�lic�atio�a�s) � �- <br /> �� <br /> 4• 'I'�`�'!�� F�P.i�'II�' �]C� (Add lines 1-3 above) � ��,�, �j��; <br /> *CO?JTRACT PRICG or 10B COST means the actual or estimated dollar amount chareed for the permitted work includ�ng <br /> n�aterials,]abor, profit,and other fxed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipi�ient, labor,or installation is furnished by the owner,tenant or any other party the reasonable mar]cet value of sucti items <br /> must be added to the estimaced cost or contract price for pem�it fee purposes. In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of the actual contract. <br /> **The STAT�SliRCHARG�is.0005 of the contract price under�1,000,000 or$.50-whichever is greater. For valuations over <br /> �1,000,000 ca(I the Department of Inspectional Services for the price. <br /> The undersiened hereby applies to the City for issuance of a Mechanical Perniit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the tvlinnesota State Building Code,and certifies that all statements made on dlis <br /> application are complete,true and c�rec[. <br /> � <br /> Applicant's Signature: /� C� � . �--- _ � �' <br /> G� Date: -��,5_�� <br /> Approved By: Date: <br /> 3 ' <br />