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il <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following'requirements <br /> 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 /> s <br /> Is;' rove installed or replaced by the homeowner or licensed contractor.' <br /> }# Slap next section,if this applies;" Cost of Permit <br /> 4 y A Surcharge D a r <br /> State <br /> $ 150 <br /> 5F; `n �•y. Mail-In Fee(If Applicable) Y $ 150 <br /> s3 <br /> k Total Permit Fee ' <br /> z <br /> If above does.not a 1 'follow <br /> pp y, guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35 00) <br /> x.0125$ £ <br /> - . (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) <br /> 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 /> ■ * 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 market 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. adispute 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 /> 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 statements made on this application are complete, true and <br /> 11 <br /> correct. <br /> Applicant's Signature: \`r-., _ <br /> Date: <br /> 3 <br />