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a <br /> � <br /> � PERMIT FEE CALCULATION(S) <br /> BASED OFF '-i2002 STATE STATUE <br /> ❑ Yes,tliis sectiou applies <br /> The replacement of a Residential fixture or appliance that meets all ttn-ee 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;excludin�the cost of the fixhire 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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE GALCULATION(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$35.00) <br /> 3D�'�/ • �� X .0125 $ <br /> a . (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x .0005 $ <br /> (conUact price) (minimum$ .JO) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TO'TAL PERMI'T FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACI' PRICE or JOB COST means the actual or estimated dollar amotmt charged for the <br /> permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> io the customer for the work done. If any material, equipment, labor or installations are fiirnished 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 puiposes. In the event that there is a dispute on the <br /> aiii�ii7ii vf i}'iC jOt'i C^vSt, i::e Citj� TTi3� rCC�U�St the subnLSStOri Cf a sigr,ed copy of the 3Ct!]3� rnptrg�T. <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREENIENT <br /> The undersigned hereby applies to the City far 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 made on this application are complete, true and <br /> correct. <br /> � <br /> f�' � � <br /> Applicant's Signature: � �� Date: - �� � �� <br /> 3 <br />