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, � � � PERMIT FEE CALCULATION(S) <br /> BASED OFF -2�}O2 S7'ATE STATUE <br /> [� Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the foliowing requirements: <br /> I. Does not require modircation to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fi�:ture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,iY this applies; Cost of Permit $ 15,00 <br /> 5tate Surcharge $ 50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee � <br /> PERMIT F�E CALCULATION(S)—JOBS O�ER�SQt�:UO <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.2�%of ntract pFice with a(Minimum Fee of$50.00 <br /> t� / <br /> �� ` � Y .oi2s $ �P- �--- <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> � ��}� x.0005 $ � `� / <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Oniy on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ( <br /> � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estunated 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 fiimished 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 event that there is a dispute on the <br /> aniount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> • �*The STA17;SURCEInRGF,is.0005 of the Building llcpartment at(9�2)249-4600 for the pnce. <br /> � MECHANICAL PERMIT APPLICATION AGREEMENT � � � <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, 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 n this application are complete, true and <br /> correct. <br /> Applicant's Signature: � te: � � � <br /> Reset Form <br /> 3 <br />