2013-00902 - mechanical - Laserfiche WebLink

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PERI�IIT F�CALCULATION(�) BASED O�F-2002 STATE 3TATUE ❑ Yes,this section applies The replacement of a Residential fixture or apvliance 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;excludins the cost of the fiacture or appliance:and 3. Is improved,installed or replaced by the homeowner or licensed contractor. Skip ne�ct section,if this applies; Cost of Permit $ 15.00 State Surcharge $ 5.00 Mail-In Fee(If Applicable) $ 2.00 Totai Permit Fee $ PEitI.VII'F FEE CALCULATION S -JOBS OVER$�.UO If above does not apply;follow guidelines below: 1. CONTRACT PRICE *is 1.25%of contract price with a(Miuimum Fee of$50.00) � s � � x.0125$ ��,(� �v contract price) (minimum$50.00) 2. STATE SURCHARGE I? � D D x.0005 $ �,q � contract price) 3. POSTAGE&I�ANDLING(Only on Mail-In Applications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �33��D ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount chazged for the permitted work including materials,labor,profit,and other fixed costs. It is the amount to be chazged to the customer for the work done. If any material,equipment, labor or installations are fiunished by the owner,tenant or any other party, the reasonable market 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. MECHANICAL PER1v1�T APPLICATIQN AGREEIV�T The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application aze complete, true and correct. q� 3 ApplicanYs Signature: _�(��jj� Date: / ��'� � 3