2014-01057 - mechanical - Laserfiche WebLink

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. � r . . � Yes,this section applies i Th�replacement of a Residential fixture or appliance that meets all three of the following reqµirements: 1. Does not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliancek and 3. Is improved, installed or replaced by the homeowner or licensed contractor. I Skip next section, if this applies; Cost of Permit $ � 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $� 2.00 Total Permit Fee $ �— I . If a ove does not apply; follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$5�.00) � �v�/Sc�'— x.0125$ �, (contract price) (minimum 550.00) 2. STATE SURCHARGE x.0005 $ (contract price) I 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.b0 �� 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I ■ � CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the �ermitted work including materials, labor,profit, and other fixed costs. It is the amount t be charged tp the customer for the work done. If any material, equipment, labor or installations are ished by e owner, tenant or any other party, the reasonable market value of such items must be dded to the stimated cost or contract price for permit fee purposes. In the event that there is a di pute on the ount of the job cost, the City may request the submission of a signed copy of the act�al contract. I The �ndersigned hereby applies to the City for issuance of a Mechanical Permit, agre�s to do all work m strict accordance with the ordinances of the City and the regulations of tl�e State of Minn sota, and certifies that all statements made on this application are complete� true and corre t. I Appli ant's Signature: Date: —/�J 3