Laserfiche WebLink
i <br /> � —� FERMIT FEE CALCLTLATION(S) � � <br /> BASED OFF -2002 STATE STATUE r g <br /> ❑ Yes,this section appiies <br /> i <br /> The replacement ofa Residential fixture or a�pliance that meets al]three of the foflo�ving requirements: <br /> 1. Does not reyuue modification to clecfrica[or gas service. <br /> 2. Has a tota!cost of$�00.00 or less;cxcludine the cost of the fixture or appliance:and <br /> 3. Is improved,installed or rep[aced by the homeowner or licensed centtactor. <br /> Skip ne�ct sec[ion, ifthis applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-I»Fee(If Applicable) $ 2.OQ <br /> Total Permit Fee $ <br /> PERMIT F�EE CALCULATION�S�—JOBS OVER$SOOAO � � <br /> If above does not apply;follow guidelines below: <br /> l. CONTRACT PRICE • is 1:?5°/a of contract price with a(Minimum Fee of$50.00) <br /> ,��,O(: x.012�$ �CU•GC� i <br /> (conhacG price) (minienum S.i0.00} � <br /> 2. STATE SURCIiARGE <br /> x.0405 $ r�S <br /> (con�racl pricc) � <br /> 3. POSTAGE&]FAlVDL1NC(Only on Mail-In Applic2tions) $_ 2.00 I <br /> i <br /> 4. TOTAL PERIVIIT FEE(Add Lines 1-3 Above) $ �Z. �S i <br /> ❑ * CUN1 RACT PRfCE or 10B COST rneans the actual or estimated dollar amount charaed for the <br /> permitted work including materials,labor, profit,and other fixed costs. It is the amowlt to be eharged I <br /> to rhe customer for the work done_ If any material,eq�ipment,labor or insta[lations are furnished by I <br /> the oumer,tenant or any other party,the reasonabte market va[ue of such items must be added to the <br /> estimated cost or contract price for pemiit fee purposes. In the event that there is a dispute on the <br /> amouni of the job cosi, the City may request the submission of a signed copy of the actual contract. <br /> � <br /> MECHAIvICAL PERMIT APPL[CATION AGREEMENT � <br /> , <br /> �—��__ I <br /> i <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> r�rork 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, h-ue and � <br /> correct. I <br /> � � � � I <br /> Applicant's Signaturc: ���` �� Date: �'"�u I`� � <br /> I <br /> 3 <br /> i <br /> E d ��gZ-gg�-�gg oi}ona�suo�uao}sn�aa}�e� <br />