2003-P06381 - gas fireplace - Laserfiche WebLink

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a� . PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and 3) Is improved,installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Pertnit $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) J.�� _� X .oi2s $ :,_.�. (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) ;;� .�.��,� ,� x .0005 $ �./u � (contract price) (minimum$.50) _`; -�, 3. Postage and Handlin� (Only mail-in applications) $ �§� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ;��(�- �` *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work induding `;'{ materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, ;�� equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items i; 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. :y '';� **The STATE SURCHARGE is.0005 of the contract price under�1,000,000 or$.50-whichever is greater.For valuations over �"�{, $1,000,000 call the Department of Inspectional Services for the price. �� 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 Minnesota State Building Code,and certifies that all statements made on this �� application are complete,true and conect. � ��;� v� ?;:�� Applicant's Signature: '� � . .:i.� Date: '� _ �'s Approved By: Date: -� x 3 "`s F" i. ":!..t . � . � . . . . � . . . . . � � � . . - 'r � . . . � � . � � � � � , � � � . � �, � . ,-�: _ . .. � . . . . . �" . ` . '. _ �.. r � � .._! .' � - .. � . � . . . . �. � . . . { � , ; � r� r � � . , . � � � . - . . .. . . �..3. . ... . . ,. Y �..,'�..�.. . . ....� . . . .. . ,� �,1. Y._.f,�'{.s. .t.A+,:�:. .... . .. . :