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"`,+i;` <br /> � ,y�9 <br /> �r.' <br /> _ <br />. � �.$' : . :zrkr._: - , �h . _ ti ., � <br /> � <br /> � <br /> (� <br /> PERMIT FEE CALCULATION(S) � <br /> ~;� <br /> 2002 State Statute ❑ Yes This Section Applies :� <br /> ;� <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 ar gas service. �' <br /> 2) Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: :�: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractar. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 � <br /> � <br /> ,,, <br /> ;.� <br /> If above does not apply, follow guidelines below: .;� <br /> � <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) <br /> �f� �' � x .0125 $ ��,�_� :� <br /> (contract price) (minimum$35.00) � <br /> �� <br /> � <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) � <br /> � <br /> �I�'�' c�: x .0005 $ S% .� <br /> (contract price) (minimum$.50) ''' <br /> :� <br /> 3. Postage and Handling(Only niail-in applications) $ _ � � <br /> � <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ -���3 '�`� <br /> `�� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including � <br /> materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.If any material, �� <br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items <br /> 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 '� <br /> the job cost,the City may request the submission of a signed copy of the actual contract ;�� <br /> w� <br /> **"The STATE SURCHARGE is.0005 of the contract price under�1,000,000 or$.50-whichever is greater.For valuations over � <br /> $1,000,000 call the Department of Inspectional Services for[he price. >� <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with "=� <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this ;� <br /> application are complete,true and correct. <br /> Applicant's Signature: — � ` �-- Date: �= d� o� � <br /> `:� <br /> Approved By: Date: <br /> � <br /> 3 � <br /> �� <br /> .. , ; � �. ��� <br /> ,\ 1 � F � �. ��� <br /> � i � <br /> •�I� .. 1 . . r � � ..j r . h��� <br /> 4 % ' i_ <br /> �.k , <br /> . �, . .,._. ,. _.__ i � . : . , _. . ,.�,_ .�� _ M� _...,. .�.�.�.ae. d..�o-.�. ,�.K . 5.,,�._ �_�� .�.ay,aws�„s�:'��`'.���,r�"r�"s'a��.�` <br />