Laserfiche WebLink
9529331869 14-30:45 01-08-2014 4/4 <br /> 1 , . <br /> PERMIT FEE CALCULATION{S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a�esidenti�l fixture or appliance that meets all three of the following requirements: <br /> i. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$SOO.QO or less;ex�luding the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowntr or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> '1'otal Permit Fee $ <br /> PERMIT FEE CALCULATION S —JOBS OVER$500:U0 <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 /> /1 VI,.iC�f�,`L7 X.o�25.D �..J�.l. �..��� <br /> (contract price) (minimum 550.00) <br /> 2. STATE SiJRCHARGE <br /> ��a «-C%�'�"" x.0005 $ � .C>C::> <br /> (contract price) <br /> 3. POSTAGE&HANDLI�JG(On(y on Mail-In Applications) $ 2.00 <br /> 4. TOTAI.PERMIT FEE(Add Lines 1-3 Above) $ >L1• �>L� <br /> ' * CONTRACT PRICE or JOB COST means the actua! or estimated dollar amount charged for the <br /> permitted 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 fumished by <br /> the owner,tenant or any other party,the reasonable market vatue 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, d�e City may request the submission of a si�ned copy of the actual contract. <br /> IVIECHANICAL PERIv1IT APPLICATION-AGREEMENT: <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 /> conect. <br /> ( . Lf l ( ' <br /> Applicant's Signature��:��J.1-�����:�-<(� ������L.�J�_.-!�'L,�`_ Date:� r �`; j <br /> � <br /> 3 <br />