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<br /> �,-��� �,�������''��PERIvfI'l�F��A�`CI��'�'�ION�S) ' �-
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<br /> ��,�. < � .� ;:�. .. `,�,:. �. , .BASED;OFF,`=20a2;S`�,ATE S`FATL1�� �L � � ��: 3,` ��,,;
<br /> ❑ .Yes,this section applies �
<br /> _ The replacement of a Residential fixture or appliance that meets all three of the following requirements: .
<br /> `4� 1. 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: and
<br /> `,�:3. , Is improved,installed or replaced by the homeowner or licensed contractor.
<br /> _ _ Skip next secrion,if this applies;; Cost of Pernut $ 15.00
<br /> ��
<br /> State Surcharge $ .50
<br /> Mail-In Fee(If Applicable) $ ' 1.50
<br /> _ Total Permit Fee $
<br /> ��,�`�'���_,,. ,k�P.ERIVIIT FEE C.AL,CL�I;A`�ION�(S) .t:TOBS£;OVER$50,0,�00�. � ��;�+� „�.
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<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 /> L3,� o� x.0125 $
<br /> (contract price) - (minimum$35.00) ' :
<br /> : 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.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 Above) $ '
<br /> • � * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the
<br /> _ pemiitted 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 material, equipment, labor or installations are furnished 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 pluposes. In the even4 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 /> -:� � �, _
<br /> ,::��IVIECHANICAL�PERMIT APPLTCATION4AGREEMEI.���`��.�.���,�` ��;�� .
<br /> The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all
<br /> work in strict accardance 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 Signature: ' Date:��� � � y �
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