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03-17-2009 11:45A� FROM-FORE MECHANICAL +7637866545 T-290 P.002/002 F-357 ' PERMIT I?�E CALCU.LA'f.ION(S) BASED Or.F.-2002 STAT� STATUE � Yes,this seccion applies The replaccmenl of a Residential fix[ure or applianee that��teets all thrcc of 1he fo)(owing requitements� 1. Does not require modification to electrical or gas service. 2. Has�total cnst of$500.00 or less;excludine The cosi of tl�e fixture or�ppliance:and 3. ls improved, installcd or replaced by chc homeowner or licenscd eontr�etor, Skip nexi sectioii,if this applies; Cost of Permit � 15.00 Siate Surchargc $ .50 Mail-In Cee(If Applicablc) $ 2.OQ Total 1'ermit Fee $ PEltlV1IT FEE CAGCULATION S)'—JOBS OVER:�SU0:00 lf obove does not�pply;follow guidclines below: 1_ CON7'RACT PRIC� "' is 1.25%oF contraci price with a(Minimum�ec�f$50.00) 7,100.00 x.0125 g 88.75 (conuoct price) (minimunt$SO.OU) 2, STATE:SURCHARC� **Add thc SLate I3►dg Code Div.Surcharge(Minimum t�'ee ot�.50) 7,100.00 x,0005 � 3.55 (conuAet pricc) (minimum$ ,50) 3. POS'I'AGE&HANDLfNG(Only on Mail-I»Applications) $ 3•AO 4. TOTAL P�RMIT FEC(Add Li»cs 1-3 Above) ,� 94.30 ■ * CONTR/�CT PRICE or JOB COST means �he actual or eslimated dollar amouni charged for the permitted worlc including materials, labor, proft, and oclur lixed cosu. It is ehe amount to be cl�arged to Lhe customcr for ihe work done. If any macerial, equipmcn�, IAbor or install�rions are fumished by the owner, lenant or any other parry, the re�.sonable market value of such items mus� be addcd to the cstim�l[ecl cost or eontract pricc Cor permit fec purposes. in lhe zvent that thtre is a dis�ute on thc amount oF the job cost, the Ciry may request thc submission of a signed copy of the accual contract. ■ �*The S'�'ATE SURCHARGE is.0005 of the Building Deportment at(952)249-4600 for the pricc. MLCHANICA�.�'ER1VI1'C APPL7CATION AG;[2EENI�NT The undcrsigned hereby applies to the Ciry for issuancc of a Mecl�anieal Pertrit, agrees to do all work in strict accordance with the ordinance of the Ciry and the resulatians of the State of Minnesota, and certifies eha� all scatzmen »ade on tl�is application ar� complcte, true and correc�_ A /Applic�nt's Signature: '� Date; J �� Reset Form ;