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<br /> � 0 .Yes,this section applies �
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<br /> � t x The replacement of a Residential fixture or appliance that meets all three of the following requirements , ,
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<br /> ?F� �" ''� -� '� 1 Does not require modificarion to electrical or gas service. .
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<br /> 2 Has a total cost of$500.00 or less;excludine the cost of the fixture or apphance and • "`�z � �` ` '`
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<br /> `, �sfi��,��, y ���,yF�3 Is u�roved,installed or replaced by the homeowner on c�ensed contractor �- `�
<br /> � �.f� a �.e�M�'"k . � _� :�: �:: - ..��, .'�. •r �. _ �l t r `, � � ; �.
<br /> c ��' � �.�' . Skip next sechon,if tlus apphes, ° Cost.of Pernut ' $ = 15.00�r -} ��"�-��x Y, �
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<br /> �,t �` `s,�� ��k�, �,, � Sfate Surcharge :� ` _ $ .50. < ,r ��'� ��
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<br /> ; � Mail In Fee(If Apphcable) - ` $ 1 SD � � '°
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<br /> Total Pernut Fee $ � t , `'��� " ,�
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<br /> {4.�ry '�"` ' - &,g- Yy ,.:". '-2�y''y��",:�iE.�
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<br /> - .i� ��' � X;�; 's � � ,��" q -.�3 e
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<br /> If above does not apply;follow guidelines below °r a
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<br /> 1 CONTRACT PRICE *is 1.25%of contract price with_a(Minimum Fee of$35.00) . �
<br /> � � � i, � , . ` ` � . � -
<br /> - ,�o �t`���r - - `
<br /> � X.�125$ �,� y .�
<br /> (contract price) :. (mmimum$35 00)^ -7 �
<br /> 2. STATE SURCHA,RGE **Add the State Bldg Code Div.Surcharge(M,immum Fee of�SU) ' '7`
<br /> - ' _ ` x.0005 $ � :
<br /> :� ` (contrect price) (mmimum S 50). .
<br /> - 3. POSTAGE&HANDLING(Only on Mail-In Applicadons) $ 1.50 , �
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<br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovej $ ` '
<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. If any material, equipment, labor or installafions are furnished by' `
<br /> _ the owner,tenant or any other party, the reasonable market value of such items must be added to the
<br /> estunated 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 /> . � ..�. � �����A"`.�,��,,P,,E�T�`. ° ���;�� ,�. � .,�..� �
<br /> The undersigned hereby applies to the City for issuance of a Mechanical Perniit, agrees to do all
<br /> work in str-ict accordance with the ordinances of the City and the regulations of the State of �
<br /> Minnesota, and cerhifies that all statements made this application are complete, true and
<br /> correct. -
<br /> ApplicanYs Signature: �''liT� O �
<br /> Date: . .
<br /> 3 �
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