Laserfiche WebLink
�'Jlay'i�'h 4 04:16p DL Johnson Htg. 763-434-1934 p.3 <br /> PERMIT FEE CALCULATIOI�I(S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixtur�or ap�iance that meets all three of the f [owin�requirements: <br /> 1. Dnes not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excluding the cost of thc fixture r appLiance:ant! <br /> 3. Ts improved, installed or replaeed by the homeowner or licensed co actor. <br /> Skip next section,if this applies; Cost of Permit S ��.00 <br /> State Surchatgc 5_ 5.00 <br /> Mail-In Fee(If 9ppficable $ 2.Q0 <br /> Total Permit Fee $ <br /> PERMIT FEE GALCULATION(S)—J�BS OVER 500.�0 <br /> lf abo�e does not apply;follow guidelines below: I <br /> l. CONTRACT PRICE *is 1.25%of contract price with a(Minim Im Fee of$SD.00) <br /> ��y� .,� <br /> x .o�2s <br /> (conlract pricc) (mioimum$50.04) <br /> 2. ST.4TE$ITRCHARGE � �,., <br /> �`/-j x.a005 <br /> (conrrac�pnce) <br /> 3. POSTAGE&I-IAI�DLIItiG(Only on�iail-In Applicadons) 2.00 <br /> 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) <br /> • * CONTRACT PRICE or IOB COST means the actual or estirnated doll r amount charged for the <br /> permitted work including materials,labor,profit,and odier fiYed costs. It i the a►nount to be clzargetl <br /> to the cusYomer for the work done. lf ar�y material, equipment, labor �r in [ations are fumished by <br /> the owner, tenant or any other�ariy, the reasonable market value of suc}t erns must be added to the <br /> estimated cost or contract price for pem�it fee purposes_ In the event th there is a dispute on the <br /> amount of the job cast, the City may request the suhmission of a signed py of the actual contract. <br /> � IvIECI-IANICAL PERMIT APPLICA'FION AGRE 'NIENT � <br /> The undersigrted hereby applies to the City far issuance of a Mechaneca Permit, agrees ta do all <br /> work in strict accordance with the ordinances of the City and the re lations of the Stace of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> � <br /> Applicant's Signature: � - Date: I � /9 /y <br /> .�'��� <br /> 3 <br />