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� . _ � �.,. <br /> � � . .: �� �:� o�. <br /> � .e..,�� a._� ,�. ..,. <br /> . <br /> , <br /> :. <br /> .. <br /> , .. . <br /> � .� �-�. <br /> ..���.�� ���� '��'�.d�"� '� �� a <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total co of$500.00 or less;excludine the cost of the fixtwe or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip ne�section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee S <br /> :�; .,� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE "is 1.25%of contract price with a(Minimum Fee of 550.00) <br /> 3,405.Q0 x.0125$ 50.00 <br /> (conuact price) (minimum 550.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Mioimum Fce ofS.50) <br /> 3,405.00 x.0005 $ 1.71 <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 53.71 <br /> ■ " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,pmfit,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 aze furnished by <br /> the ott�mer,tenant or any other party,the reasonabie 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 may request the submission of a signed copy of the actual contract. <br /> ■ #'The STAT'E SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> '$ �+..�- <br /> T'he undersigned hereby applies to the City for issuance of a Mechanical Pernut,agrees to do all <br /> work 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, true and <br /> correct. <br /> Applicant's Signatur Date:—_i��0 <br /> � ���If�M� . .. <br /> 3 <br />