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�^� R <br /> I <br /> f �::r��yN/�M l� Y y� �� � •� �:� $ .& � �; tr .. <br /> y�`%#� � �a r rw �1! ' �,�w �'�r���;���' a- ��s�§.rs.� a <br /> � ' �� �'x ..�,a � � fr¢i���s,�.�� <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;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 section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> , � � -�... ,, <br /> � & ���,: � <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 550.00) <br /> 800U X.oi2s$ <br /> (contract price) ' (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ . <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual 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. lf 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 /> ��s �: ; �` �A� <br /> r � <br /> - , •- . , > . � <br /> � ..... .. <br /> <.,.t, • ��.:�; . : � :. ..• ,: <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 r inances of the City and the regulations of the State of <br /> Minnesota, and certif that all ate ents made on this application are complete, true and <br /> correct. <br /> Applicant's Signa re: Date:�2 1 °� <br /> � <br /> 3 <br />