Laserfiche WebLink
PE��LI�I' R;CE CilLCULATlOi�(S <br /> - Bf�SED OFF - 2002 ST.�TE ST1�T.IJE - '� <br /> ❑ Yes, diis section applies <br /> The replacement of a Residential fixture or a liance that meets all three of the following requirements: <br /> 1. Does not require modificarion to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; excl_ udin� the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; <br /> Cost of Permit $ 15.00 <br /> State Surcharge $ .SO <br /> Mail-In Fee(If Applicablej $ 1.50 <br /> Total Permit Fee � <br /> �r, <br /> `�k� � p'� , �EERi'VIIT�FE�CALCT�L"�A,. IO�T(S��'-��'�`OB-��p,V�R��50b Ob�'��.` � �"� � �� , <br /> _ - � . .. �-- � - �•;� s._� <br /> If above does not apply; follow guidelines below: <br /> I. CONTRAC"I'pR�CE *is 1.25%0 of contract price with a(Minimum Fee of$35.00) <br /> �. <br /> �L �� 'L` �i x _p125� <br /> (contract price) (minimum 53�.00) <br /> � �. �1':�'1'�; SURCiI1...R�E * <br /> * Add the Jtate Blrl�* C'nriP �h.; �,,;Ch7:�e (.l�liai:7;u�i Fec ui�.�0) <br /> ----____ x .0005 $ <br /> �co,..,...,;r����� r.., - --. <br /> 3, i OSTAGE & HANDLING (Onl}�on �2ail-In Aprlic�r_;cii;) � ����'��'� ���; <br /> I.50 <br /> 4. TOTAL PEI2�VIIT FEE (Add Lines 1-3 Above) <br /> � <br /> ' * CONT'IZqC'T pRICE or JOB COST means the actual or esrimated dollar amount charged for the <br /> permitted work including materials, iabor,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 purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City rnay request the submission of a signed copy of the actual conttact. <br /> ' ** The STATE SURCHARGE is .0005 of the Building Deparnnent at(952) 249=4600 for the price. <br /> -�°,k — <br /> �..� =rs'=� CHA�C�PE ,�,?�I, � <br /> � �_ ��.: �._itiiE � � R�II`T�" � �::'T�I'0�;��`'�R�ETt�E'I�������� s <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the ity and the regulations of the State of <br /> Minnesota, and certifies that all state this application are complete, true and <br /> correct. ade <br /> � <br /> . � <br /> i� <br /> Applicant's Sib ature: ,f. ,..-� 2 <br /> � � <br /> . Date: � —� ./' i � <br /> 3 <br />