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. . ` PER:I�1I�'FEE'et�i.�[I�:�TI�N�S) <br /> f ` �'ti��� E���: ���X;����'���f�.')...� •� , <br /> � Yes,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 itnproved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Totat Permit Fee $ <br /> PERM�T�E�����i��� ��N S)..�. � ��.���$�#�0.(30 _ <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � x.0125$ �0'� <br /> (contract price) (m�00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) <br /> v X.��$ $ r r L / <br /> (contract price) (minimum S .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Appiications) $ 2.00 <br /> 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ . � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estunated dollar amount charged for the <br /> pennitted 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 parly,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 /> �.�- - ,w '�Y- -'rt f 1r ! <br /> k '" � '` ry'P 3, q°'t'��..k, '�rl''"^-*� .l.`` <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 statemen e on this applicarion are complete, true and <br /> conect. <br /> Applicant's Signatur . Date: I�/�'�' l� <br /> ��5�'��+�i'�1 <br /> , �. ; . .._-- . • .: <br /> 3 <br />