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.- : : <br /> . _ <br /> r �'. .�� i : �rt � ..` x� � <br /> '1t-' w.' A �j�' . <br /> j F �,a.�.ai;'..�. � �4�, i,,;��'r'�N1 ����...�'.� ;�. R�'�� �. � ��'� . <br /> ,i <br /> ._. ,. �<:,�. � ` 'i' <br /> . ... ..r.. .: ,... .. .. r..r.i ��.� ' ,. .� . . 11 ,�...s .. � <br /> _ ❑ ; .Yes,this section applies � <br /> f � The replacement of a Residential fixture or appliance that meets all three of the following'requirements:r: <br /> }� i F� . � .� -. ... ` �.�. /� � .�-.. �,. ._ .-{,. ." ... <br /> ; „� , � -, ' 1. Does not require modificarion to electrical or gas service. ' ' � <br /> _ 2 _ Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance.and - <br /> .: +� _ � 3 : Is improved,installed or replaced by the homeowner or licensed contractor: <br /> �` . <br /> ; Skip next sechon,if tlus applies; • Cosf.of Perinit $ 15 00 �`� <br /> � } , .. . . . < ;� <br /> � � }�`' , State Surchar e t ' <br /> � i� . g � $ 50 ,; , ;,c <br /> ; j - Mail-In Fee`(If Apphcable)" '� $ 1 SD ; a <br /> " _ ; Total Permit Fee ` '$ �'' �" " <br /> 9 " -: ... . '- <br /> -'r '��Y ���'.����i..n� 'Y�' ��� � �� 44� � �'� ��:_al'.t �. �.a' 1�-' <br /> ^ _ w Y ' <br /> . <br /> .: u.z..e. n v� l� �r.P. �� ..n.. ' �)� S. <br /> '. • _a. ?'.:� . ':� ... r.. <br /> . .]A...b+ . - � �� . �: <br /> If above does not apply;follow guidelines below: <br /> 1: CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00). <br /> � <br /> ,� `.��i x.0125$ -, <br /> ,_ (con ct price) : (minimum$35.00) ; ..;: <br /> � x <br /> 2. STATE SURCHA.RGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> . x.0005 $ ' <br /> , ; <br /> ,�price) (minimum S .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 � <br /> _ 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $ <br /> • �' * CONTRACT 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 purpo§es. 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 /> �Ru��n?� 'S%� �" s � f a r RMIT`�, '''�L'�`� ��0 � , � . <br /> t -.�'�:�� �.: � ,�7��C��PE '� ° ��..,.,���``��RE 3 �� ��'��` <br /> s�� .�...: , <br /> The 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 this application are complete, true and <br /> correct. <br /> Applieant's Signature: " Date: �� Z D�i <br /> 3 <br />