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y , w��5�'�`3y,4�S."�.� cT �P'"" +t �` .�`� �h ys <br /> � S ���F�•� .f�_ �t�`�d �c�,` n� :c.. $ ��}�+�� .P �� ���'.r3 �, `�e'% <br /> �� `� s�`�t`i �� F.s."� ��,F p>� x�� � <br /> '-: .,s,- :�,.(�, .U.. 'r� .t�.1as .�a:...��"s'i�a'i *k <br /> 0 Yes,this section applies <br /> The replac�ent of a Residential fixtute or apaliance that meet4 all three of the following requirements: <br /> 1. Dces not require modification to electrical or gas�rvice. <br /> 2. Has a total cost of$500.00 or less;excl ' the cost of the fixture or applia�ce:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed oo�ractor. <br /> Skip ne�R section,if this applies; Cost of Permit $ I5.00 <br /> State Sutcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � <br /> , ,.>.,a,���� ,,v��""� '�,.����; �r�F '��.t."`; <br /> If above dces not appty;follow guidelines below: <br /> 1. CONTRACT PRICE •is 1.25%of contract price with a(Minimam Fee of$50.00) <br /> x.0125 S <br /> c��r�) c��aso.00> <br /> 2. STATE SURCHARGE •'Add the State Bldg Code Div.S�mchatge(1►�m�m Fce of 5.50) <br /> x.0005 $ <br /> (contrac*P�rice) (minimum S .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S <br /> • ' CONTRACT PRICE or JOB COST means tbe actual or estimated dollar amwmt chazged f�the <br /> permitted work including materials,labor,profit,a�d other fixed costs. It is tbe amount to be chazged <br /> to the customer for the work done. If any matcKial,equipment,labor�installations ate fumished by <br /> the owner,tenant or any other party,the reasonable marke.t value of such items must be added to the <br /> estimated cost or contract price f�peimit fee pucposes. 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 contrsct. <br /> ■ ••The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> � r . a� , , ,� <br /> ,i���.'I.v '�'� �,�p` � _ d �� P;,.�...� i <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 certifies that all stabements made on this application are complete, true and <br /> correct <br /> Applicant's Signature: Date: vc^'v���� <br /> � r�' h � s1:=+`� '��"�''�- ' i <br /> 1 � ���= <br /> �i 2 - 9...n +a x�y,�`'w`r� a <br /> 3 <br />