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• <br /> .','„,i;,-...:.,-.---.. - " ' ti� 4g ' 4x' . 7j r' i - ,,--,-..%,-14,3,'r'29.;: <br /> -i. s-1 --;?4 -.-1 -.. GwBASE0FFtm-4, ru . : <br /> 0 .Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements. . <br /> .y • 1 . Does not require modification to electrical or gas service. <br /> a` 2 Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance and <br /> :";-!„-•:-'''',N,`, 3 Is unproved,installed or replaced by the homeowner or licensed contractor ' <br /> • Lry <br /> F <br /> ▪ .r z,. ` • Skip next section,if this applies; Cost of Permit $ 15.00' .. <br /> State Surcharge $ 50 <br /> a • _•• ' Mail-In Fee(If A licable € <br /> `� �t PP ) $ 1 SD . <br /> Total Permit Fee $ <br /> If above does not apply;follow guidelines below: <br /> 1. : CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35 00) <br /> „ - <br /> ev <br /> vvv . x.0125$ , ' z <br /> (corct price) <br /> • ` , , � (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge (Minimum Fee of$.50) <br /> r 32 uoD � x.0005 $ (6,,�°- . <br /> (contract price) (minimum$ .50) <br /> - 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> pp <br /> If, <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> • ' * CONTRACT PRICE or JOB COST means theactual 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 fu nished 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 a dispute 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 /> 11' � �` . .`,.�MEC1;3 C�0-.15,ERMITA_4PL)•CA1 Y® 1 QREE1V1 L M , ` 1 <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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 ma.- on this application are complete, true and <br /> correct. <br /> Applicant's Signature. <br /> Date: f1 L6 !—{e <br /> 3 <br />