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PERI�IIT FEE CALCLILATION(S} � � � � <br /> BASED OFF -2002 STATE �'�TATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modiftcation to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fixture 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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> : . � �.��L = ,A,',���fi� �_ '�i�� `� �4�sF;�����& <br /> �` :� f� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> _� �. ,,;C� x.0125$ I `�t-�`��� <br /> (con act price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Ad�e State Bldg Code Div.Surcharge(Minimum Fee of$.50) <br /> � <br /> � <br /> �-. C��- x.0005 $ —j.C/Ci <br /> (con act price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 • <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��>�.���� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated 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 furnished by <br /> the owner,tenant or any other pariy, the reasonable mazket 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 /> • **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. � <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 made on this application are complete, true and <br /> • correct. - <br /> /� - <br /> , . <br /> Applicant's Signature: �� � ���'� Date: � �� � � <br /> :; <br /> z s, <br /> Rese#Form �'x� ', <br /> ;�` <br /> 3 <br />