Laserfiche WebLink
1 <br /> • � � ' . <br /> • v I <br /> ❑ Yes,thi.s section app�ics I , <br /> 'I�e=c�placernrnt of s�i rial fixture ar arroliance that mects all three of the fallowin,g requirements: <br /> 2. �ocs net rcqui='e moditicatiou to electrical Or g�a s�rvicc. . <br /> 2. Iias a tata c of$500.00 oX less;excl " the cost of tl�fixbute or appliance:snd <br /> 3. Is improved,iastAllEd or replaccd by the hoxn�;ownar�or Lic�nsad co�accor. <br /> Skip next section,if this applias; iCost of P�mit S )5.00 <br /> State 3uscLarge $ .50 <br /> , Ma�i�-I�n�ee(If Applicablc} $ 2.00 <br /> Total Pennit Fee S <br /> lf abovc doca not apply;follow guidelines be�ow: � <br /> � <br /> , 1. CON'TRACT PRICE '"is 1.2�%uf centracr pr�ce'with a(Miaimum Fee of SS0.00) <br /> . t�Q Q�e'j > �D x_0125$ `ra�� V <br /> (conov;ct price) (minimum S50.00) <br /> 2. STATE SVRCBARGE �'"'Add the State B1dg Code Div.Sureharge(Mintmum�of S.So) <br /> x.0005 .$ �1� � <br /> '�� � (contractprica) ' (mininlumS .50) . <br /> 3. POSTA(3fi&HANDLING(Only on Mai1-In Applications) � 2.00 <br /> 4. TO�'A�L PERMT�'k'EE(Add Lincs 1-3 Above) S `s /� � <br /> � * CON'T1tACT PRiCE or�OB COS'C rncxns thc actuai ar estin+xbcd dni]ar ernoun� cbargcd for �hC <br /> �e�mithed work iucludimg tnatecials,labar;profit,arid nthcr fixed costs. It is the amount to be charged <br /> to the customer for tl�e work done. If any materia�,.equapno�ent,labor or instaalatious are fiu�aisbed by <br /> the owaer, teaaat or any other partyy'the reasonable msrket value of such items must be added to the <br /> est�mated cost or co�ra�ct pric� for�permit fee purposes. `Ia,the event tha[ there is a dispute on the <br /> ameuat of the job eosy the Ciry may request the siubm{ssion of a si�ned copy of the acmal contrack <br /> ■ '"'"The STAT'E SU1tCHARG�is.0005 of the Building Department at(952)249-4600 for the price. <br /> i' �� � �� � � �� <br /> Thc undersigned hereby.ipplies tn the City fcn issu�nce of a Mechanical Permit, agrees to do a11 <br /> wo�rk i�n strict accor8ancc wi,th the ordinanc�s of t]�e City and th� regulaiions af the State of <br /> Minnesota, and certifles that all statements made oc� this application are complete, true �nd <br /> corrcct ' . <br /> Applicant's 5igiature: ' � ' � 1 <br /> � . �� <br /> �a�:� ) d <br /> ; � ;; � �� <br /> "i ; ; . <br /> 3 � � <br /> ; :, <br /> fi�b�d 9Z9b6bZZ�6�01 � �W021� d80:ie etiez-�i-�nr <br />