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:� • <br /> . <br /> , ,. , . ,; , <br /> J � : ,T `a�' s� i�`. � � �,:.. _ � . <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the fallowing nquirements: � <br /> 1. Does not require modificatibn to electrical or gas service. <br /> 2. Aas a total cost of$500.00 or less;excludin¢the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeown�r or licensed contractor. <br /> Sldp next section,if tUis applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee � $ <br /> ,._ �:., <br /> „ <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PItICE *is 1.25%of con�act price with a(Minimum Fee of$35.00) <br /> ' �� x.0125$ <br /> (contract price) (minimum S3S.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fa of S.SO) <br /> x.�OS $ <br /> (contract price) (mini�m S .SO) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 , <br /> 4. TOTAL PERMIT F'EE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST xneans �he actual or estinsated dollar am4unt charged for the <br /> permit�ed work including materials,labor,profit,and other fixed costs. It is the sa�ount 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 market value of such items must be added to the <br /> estimated cost or contract pricc for permit fee purpases. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a sigaed copy of the actual contract. <br /> ■ **The`STATE SURCHARGE is.0005 of the Building Depart�nent at(952)�49-4600 for the price. <br /> . .:.. :...: . .�.... , .: ,:. ,. <br /> ., �. i. <br /> +� <br /> � <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pcrmit,agrees to do all <br /> work in strict accardance with the ord' ces of the City and the regulations of the State of <br /> Minnesota, and certifies that all stat�cn made on this application are complete, true and <br /> correct. <br /> �� � <br /> . � <br /> Applicant's Signature: Date: �� �S <br /> � <br /> 3 <br />