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� PEIZM�T FEE CAI�CUL�ITION(S) � <br /> BASED OFF - 2002 STATE STATUE �� � � <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 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 /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee � <br /> ' PERMIT'F�E CALCULATION S —JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 1 <br /> � ' ;��' ���� x.0125$ � l + <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE �' ���� �� x.0005 $ I ' I �� <br /> (contract price) <br /> 3. POSTAGE&HANDL[NG(Only on Mail-In Applications) $ 2.00 <br /> � <br /> 4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ ��. ��' <br /> • * CONTRACT PR[CE 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. [n 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 /> MECHANZCi'-i�"PERMIT APPLI�PiTIt?�T AGREEMENT ' �� '"�"� �' <br /> �_.� ��,_ . . � a ;�r <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> wark in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies th all statements made on this application are complete, true and <br /> correct. <br /> , <br /> Applicant's Si�nature: � �V� Date: � ��J 1 <br /> 3 <br />