2009-00289 - mechanical - Laserfiche WebLink

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O � �� � �: .)J ! 1 3 `,&4�a'i Q zb�",�'.p '�' :«,y ,.�; : t t. i„ �., ' d cX - `��;� �i�i�ix i�1 CtY ; i a � � � .� °" ' .+�d � �� . • f;. tu� 'Frd � i . " , '_ ,..�� ,. �. . :;' ,., �..... . ,e .-.',.,K„ ......... .. ..�. ' . J.�:, . � ��;. ❑ Yes,this section applies The repiacement of a Residenrial fixture or avnliance that meets all three of the following requirements: 1. Dces not require modification to electrical or gas service. 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section,if this applies; Cost of Permit $ 15.00 State Surcharge $ .50 Mail-In Fee(If Applicable) $ 1.50 Total Permit Fee $ ��;��' . � �.�° x,° If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25�0 of contract�ce with a(Minimum F�ee of$35.00) {f x.0125$ �1p.�,j (contract price) (minimum$35.00) 2. STATE SURCHARGE **Adj�the State Bldg Code Div.Surchazge(Minimnm Fee of 5.50) �r � ,� - X.000s $ . � (contract price) (minimwn .50) 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 4. TOTAL PEItMIT FEE(Add Lines 1-3 Above) $_ ��, _� ■ * CONTRAC'T PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material,equipment,labor or installations are furnished by the owner,tenant or any other party,the reasonable mazket value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. ■ **T'he STATE SURCHARG�is.0005 of the Building Department at(952)249-4600 for the price. , _ , .. :. : ��a�I�� ' �. .,��. `: �... ..j.,., The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a11 work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that a11 statements made on this application are complete, true and correct. Applicant's Signature: • Date: � �� 3