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. <br /> � . . . . ,� > ��.5 k: � �'. i T - �. .. .. . . <br /> f� � ,• � �' f� � � 4 � '� � . <br /> L ,d�,n <br /> - E �.`t�=�,d,��. .� � �'�...� ���� ... ��. ...,.. �`� y�, _!,.. � PA . <br /> � ..... -.. ,. . �. . .,:..._ ,....,.. : . �. <br /> I ; <br /> ❑ .Yes,this section applies � <br /> < The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> ' L 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 /> ' Skip next secrion,if this applies; Cost of Permit $ 15.00 - <br /> . ��: State Surcharge . $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee , .. $ <br /> � <br /> �. � �k���Pa$'�,G�' ���� ��� � � r. <br /> - ..� .�0��-''� ` <br /> If above does not apply;follow guidelines below: <br /> ' 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) - <br /> � <br /> ����l� x.0125$ ` . . <br /> o ct price) (minimum$35.00) k. " <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) <br /> x.0005 $ <br /> (contract price) (minimum S .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 � <br /> � 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ ' * CONTRAG"T 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 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 /> �`-���`��""�.1VI.���CA',�-u,PEIt1VII�,��LTCA�`TO��I�rR�E�1/!',E������ `'�� �`�� � <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 t 's application are complete, true and <br /> correct. <br /> ApplicanYs Signature: ^ Date: �O� �`� <br /> 3 <br />