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� <br /> . <br /> . <br /> , �. y T�';y � � -�.i��� {�,r� ,�,",; ����` a $ �L'�\�1�����{✓1'1����,.�.i��1���{;�� �,� r? �, � �; 6�' �1�' � t'. <br /> � .� <br /> . ' ���'� ��� ., ..,�`� ��,';�'" BASE�OFF°°,. �OU�S'�`A:`�E S'�,ATUEs �� `�. ,;;� ,�' � ,� <br /> , .. � �' �� � � <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance 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;excludinQ 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) $ 1.50 <br /> Total Permit Fee $ <br /> ..: ��PERMTT�:FEE�C:A.LCCSLA:`TI�N�S)=:JOBS 0�1�R$S�U0.00;" : ;.�� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 535.00)_ <br /> ' �ab� � <br /> X.oi2s$ �.ST <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> � ��a� i� <br /> x.000s $ � � <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> �� /o <br /> i <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> • * CONTR.ACT 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 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 pwposes. 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 /> ' 11rfECHANIGAL:PERIVIIT.APPLICATIQN.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 /> correct. <br /> Applicant's Signature: Date: ��y� � <br /> 3 <br />