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952 445 7487 ` Line 1 10:14:38 a.rn. 06-18-2007 7!9 <br /> ❑ Yes,this section applies <br /> . The teplacement of a Residential fixhtre or agpliance that naeets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. . <br /> 2. Has a total cost of$500.00 or less;exc ud' 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,ifthis applies; Cost of Permit � 15 <br /> State Surcharge $ _50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Totel Permit Fee S <br /> If above does not apply;follow guidelines below: <br /> I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> 2-o Ot��o x.o t 25$ 2�p= <br /> contraot price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S.sO) <br /> ZO�Otst7 x.0005 $ rD �'� <br /> �ntract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ �s59— <br /> ae� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ o��a� "— <br /> � * CONTRACT PRICE or ]OB COST means the actual or estimated dollar amount charged for the <br /> permitted 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 fumished by <br /> the owner,tenant or any other party, the reasonable matket 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 STATE SURCHARGE is.0005 of t6e Building Department at(952)249-4600 for the price. <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 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: D <br /> � <br /> 3 <br />