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. <br /> . <br />• ' � ;.�y' . �l� ��L����.L.��.���1`��_�2��N���"�a�C � � 4� A.' <br /> a � 8����o���.��a� S��A r�=5��� <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 cost of$500.00 or less;excludins 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; Cost of Pemut $ 15.00 <br /> State Surcharge � .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> s.PER1V�iT�'����LCL�LA�I�3I�T(S� ���a�}��R�$�00 �(�'' <br /> Ii above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � °W x.012�$ � �_ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> �� x.0005 $ � <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ <br /> 4. TOTAL PERA�fIT FEE(Add Lines 1-3 Above) $ � �. � `" <br /> ■ * COi�'TRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pemutted 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 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 .000�of the Building Department at(9�2)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT=' <br /> The undersi�r►ed hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all <br /> ��vork in strict accordance with the ordinances of the Ciry and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> corTect. <br /> Applicant's Signature: � ate: ���—�� <br /> , <br /> , <br />