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, . . <br /> � � PER��IIT FEE CALCUL�TION(S) <br /> � SASED OFF - 2002 STaTE STATliE <br /> ❑ Y"�s, this�ection applies <br /> The rzp(acement of a Residential fi�cture or appliance that meets all thr�e of the t'oflowin�requirements: <br /> 1. Does not require modiEication to electncal or gas service. <br /> 2. Has a total cost of 5�00.00 or less; excludine the cost oT the tixture or appliance: and <br /> 3. [s impro�ed, installed or replaced by the homeowner or licensed contractor. <br /> Skip next szction, it�his applies; Cost of Permit � 1�.00 <br /> State Surchar�e $ .�0 <br /> ��tail-[n Fee([f Applicable) $ 1.�0 <br /> Total Permit Fee � <br /> PER��IIT FEE CALCULATIOtiT(S) -JOBS OVER $�00.00 , <br /> If abo�,a does not aoply; Tollow�uidelines below: <br /> 1. COrTR�CT PRICE * is 1.2�4�0 of contract pnce with a(�linimum Fee of�3�.00) <br /> Sc1� — X.oi�s � � .�-�'�, <br /> �coi�tract pnce) (minimum�35 OU) <br /> �. STATE SCRCH.aRGE ** ,�dd the State Bld�Code Div. Surcharge(�tinimum Fee of�.50) <br /> S I � " x .000� � � � o <br /> (c,ontract pnce) �minimum� ��) <br /> 3. POST.-�GE & HA�IDLI:�+G(Onfy on �tail-[n Applications) � 1.�0 <br /> 4. TOTAL PE1Z�[[T FEE (.add Lines 1-3 .�bove) $ �G� ` � <br /> ■ * COtiTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted work includin� matznals, labor, profit, and other fixed costs. It is thz amount to be charged <br /> to the customer for the work done. If any matenal, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable markzt value of such items must be added to the <br /> zstimated cost or contract pnce for permit fee purposes. In the event that there is a dispute on the <br /> 3mount of the job cost, the City may request the submission of a si;ned copy of the actual contract. <br /> � **The ST.AT'E SURCH.aRGE is .000� of the Buildin� Department at(9�2) 249-4600 for the pnce. <br /> MECF-�ANICAL PERi�/IIT APPLICAZ'ION AGREEVIENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> �Iinnesota, and czrtifies that all �tatements made on this application ar� complete, true and <br /> correct. <br /> _applicant's Si�nature: Date: v — ( '� IS <br /> , <br /> � <br />