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, � , <br /> PE T FEE CALCULATION(S) <br /> s BAS D 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. Ls 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 S <br /> PERMIT FEE C CULATION S -JOBS OVER$500.00 <br /> If above does not apply;follow guidelit�es below: <br /> 1. CONTRACT PRICE *�is L25%of contract price with a(Minimum Fee of$50.00) <br /> 1,200.00 x.0125$ 50.00 <br /> i (contract price) (minimum$50.00) <br /> 2. STATE SllRCHARGE �**Add the State Bldg Code Div.Surcharge(Minimum Fee of$5.00) <br /> � 1,200.00 x.0005 $5.00 <br /> � (contract price) (minimum$5.00) <br /> 3. POSTAGE&HANDLING�(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Aldd Lines 1-3 Above) $55.00 <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 partp�,the reasonable market value of such items must be added to the <br /> estimated cost or contract price fot permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost,the City m,�y request the submission of a signed copy of the actual contract. <br /> ■ **The STAT'E SURCHARGE is.0,005 times the Contract Price or a minimum of$5.00. <br /> MECHANICAL RMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to tt�e City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the i rdinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all st�tements made on this application are complete, true and <br /> correct. � <br /> Applicant's Signature: � Date: 01/19/11 <br /> � Reset Form I 3 <br /> � <br /> � <br />