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." , ,• <br /> r <br /> ,� <br /> . . . <br /> u <br /> ,. <br /> > <br /> , , <br /> ��, ��r � � <br /> � �� w ...� ����. ,a.,.r� � ,�' .,�- �; � ��, ,,aE� a3� *�,� <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or ap lip 'ance 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;excludin�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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> �.� � � <br /> ,. . � .. <br /> . J . �: . . ., r � ° <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �� p. � x.0125$ �� ��� � <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> DDO. '/ x.0005 $ Ti �O <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ --��9- <br /> qs O <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �6� �"— <br /> ■ * CONTRACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the <br /> pernutted 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 installarions 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 .0005 of the Building Department at(952)249-4600 for the price. <br /> � .,� � ,� <br /> �<�� �,�� � ::'�� <br /> � , , <br /> . , , .� , .� � . <br /> , ,-_.. . . ,. �... � �,,, *. � . <br /> ��� � <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: <br /> 3 <br />