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PERMTT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> T'hc replacement of a Residential fixture or�nliance that meets all three of the following requirements: <br /> 1. Dp�s not require rnodification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; x lu in the cost of the fixture or appliance:and <br /> 3. Is improved,instailed or replaced by the horneowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 1�•00 <br /> State Surcharge $ 5.00 <br /> Mail-[n Fee([f Ap�ticable) $ 2.00 <br /> Total Permit Fee S <br /> PERMIT FEE CALCULATION S --JOSS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. �ONTRA.CT PRICE 'is 1.25%of contract price with a(Minimnm FeE of 550.00) <br /> 39,020.00 X.o12s� 487.75 <br /> (wntract price) (miAimam 559.�6) <br /> 2. STATE SURCHARGE 39,020.00 19.51 <br /> x.0005 $ <br /> (comract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $509.26 <br /> ■ * CONTRACT'PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pemutted work including materiais,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 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 /> amount of the job cost,the City may request the submission of a signed copy of the actual contract. <br /> MECHAIJICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to City for issuance of a Mechanical Permit,agrees to do all <br /> work in strict accflrdance with th dinances of the City and the regulations of the State of <br /> Minnesota, and certifies that al " ents made on this application are complete, true and <br /> correct. ` �� <br /> � <br /> Applicant's signature: p�e; 02/14/12 <br /> Re8�FOI'!fl <br /> 3 <br />