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. , _ <br /> � � <br /> �'ER11��I'�' FE� ��.LC�I�,A7['ION,�SI <br /> 2002 State Statute ❑ I��� �'his �eeiion�ppCies <br /> Tl�e replacement of a Residential fixture or a���iance that rneets all three of the followin�rec�uirements: <br /> l} Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ i 5.00 <br /> 5taie Surcharge $ .50 <br /> iViail-In Fee $ 1.50 <br /> If above does not apply; follow guidelines belo�v: <br /> �• �'o��ract �a'ic�* is .012�% of job with a�pi�irr�um Fec of(�3�.00} <br /> „��C,�'�G,c:-�� x .0125 $ (,�'�1. ��J <br /> (contract price) minimum$35.00)� <br /> 2. Sta�e ��re�ipar�e. �°* Add the State Buildin�Code Division a 1'a,inzmum Fee of($ SO} <br /> ,�Lx-'.C.�� _X .���5 $ �(L` <br /> (contract price) (minimum$ .50) <br /> 3. �'ostaYe and �andiin� (Orzly rrarEif-irt �rpplicatio��s) � -�� <br /> 4. T'C)i P�.L ���:'����' ��� (Add lines 1-3 above) $ �G �?� <br /> e <br /> *CO?JTRACT PRICE or JOB COST means d1e actual or estimated dollar anlount charged for the permitted�z�ork including <br /> maYerials,labor,profit,and other fixed costs. It is the amount to be charaed to the custamer for thc work done. If any material, <br /> equipment, labor,or iristal(ation is furnished by the owner,tenant or any othcr party the reasonable market value of sucti items <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the arnount of <br /> thejob cost,the City may request the submission of a signed copy of the actual contract. <br /> *"`Thc STATE SURCI-IARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over <br /> n I,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mcchanical Pern�it,agrees to do all work in strict accordance��ith <br /> che ordinances of the City and the regulations of the Minncsota State Building Code,and certifies that all statements made on dlis <br /> application are complete,true and co t. <br /> Applican.t's Signature: '�t� _ �G Dafe:__� <br /> Aj�proved By; � Date: <br /> 3 ! <br />