Laserfiche WebLink
, � <br /> +S�,j�. :i.. <br /> ��� - e �.._ ,...� � . - x..;'. <br /> ��� <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 $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> " �� �" �"s�, <br /> °�� ,�'-°L, ':��'E . * �E�AI�.�t�I.��''1`I4��� ,�~.��S`�`�°ER��fJU,�i4;�;z��,�. E � <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$35.00) <br /> �(� ��Q_W x.0125$ ��� vv <br /> ( nvact price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of 5.50) <br /> O t� <br /> � (�. QQ(� , �' x.0005 $ � <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ��oa. 5o <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 installations are furnished by <br /> the owner,tenant or any other party, the reasonable mazket 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 /> '�..' 4k�£ � t���'t • _ ' . „J. �., <br /> ��. <br /> MEC�TCA�:� �R�%IIT�APl'I;IC�AT�ON`fiGREE1VIENT ..Y.r w `f �-� <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 rfi that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signat te: �1 � � � w <br /> ; . r'.1 a� s rt "Fj`4,�W �q�i`,��F x R r P�. <br /> `�;��+�,�� ..�ri RY�N..�;,� �*w�f,,�.�" �# <br /> % ; L��e�et For�n��,'��: X`� <br /> .. _ ,�..: �.� t��,.....a"�£:.`�a&'s�e' '��`��+', s� 3 . <br />