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<br /> � Yes,this section applies
<br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements:
<br /> ' 1. Does not require modificarion 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 /> 3. Is improved,installed or replaced by the homeowner or licensed contractor.
<br /> Skip next section,if tlus applies; Cost'of Pemut $ 15.00
<br /> State Surcharge $ .50
<br /> Mait-In Fee(If Applicable) $ 1.50
<br /> Total Permit Fee $ ;
<br /> .. �. .- '� i ° ;����K �� ,?t� .,� � �:•; ° � .r� ,.Y`i,.�£J; '� i-i �4r...,�_ . .
<br /> If.above does not apply;�'ollow guidelines below: , -
<br /> 1. 'CONTRAGT PRICE *'is 1:25%of contract'price with,a�1VIinimum Fee of$35.00)
<br /> � _
<br /> �tp'� d�r� x.0125$ �t.`��. O!�
<br /> (con ctprice) (minimuatt$3S:OQ) ' � °
<br /> " 2. STATE,.SURCHARGE **Add the State Bldg Code:Div. 5urcharge`(Minimum Fee:of$:50)
<br /> y`�,o,r�a X:000s $ �y, ov
<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 Abovej $�a'`Tf, e�+�
<br /> : ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for,the
<br /> pernutted workincluding 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 aze 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 evenf 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.
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<br /> The undersigned hereby applies to the City for issuance of a Mechanical Perniit,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 cornplete, true and
<br /> conect.
<br /> Applicant's Signature: - Date: �
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