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. � �' <br /> . I <br /> �. Y s,this section applies <br />, The replacement of a Residential fixture or anpliance 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;excludine 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 Permit $ 15.00 <br /> State Surcharge $ 1.00 <br /> ! Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> If above do s not apply;follow guidelines below: <br /> 1., CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ' � �0,�0 x.0125$ . � <br /> (contract price) (minimum S5o.00) <br /> 2. STATE SURCHARGE <br /> ' � �or fjo D x.0005 $ ��a <br /> (coniract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ � <br /> 4. OTAL PERMTT FEE(Add Lines 1-3 Above) $ [� �� � <br /> � <br /> ❑ * CONTRACT PRICE or JOB COST means the actual or estimated doilar amo chazged for th <br /> permitted work including materials,labor,profit,and other fixed costs. It is the ount to be charg <br /> to the customer for the work done. If any material,equipment, labor or installations are fumished b <br /> the owner,tenant or any other party,the reasonable market value of such items must be added to th <br /> estimat$d cost or contract price for pemvt fee purposes. In the event that there is a dispute on th <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract <br /> The unders gned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in s 'ct accordance with the ordinances of the City and the regulations of the State o <br /> Minnesota, and certifies that a statements made on this application are complete, true and <br /> correct. ' <br /> A licant's Si ature: �' Date: S <br /> PP � �� � <br /> 3 <br />