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P�R.1�1�T FEE CALCt3I,ATIOI'�(S} <br /> BASEI�C�F�y 2�102 STATE STATVE <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 modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�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([f Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PER15�'T'FEE�ALCiJLATItJI'�T � �—JOB�O'�R$SO{?.OU <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 /> `�� vvV �✓ x .0]25 $ 1 V 1/�✓ <br /> (contrac price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> �00 ��' �� <br /> X .000s $ ✓ <br /> (contract price) (minimi m$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 11� �° <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 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 /> ■ **The STATE SURCHARGE is.0005 ofthe Building Department at(952)249-4600 for the price. <br /> NC�C�NICAL I'E��'APPLIC.ATIQN AG�ENT�NT <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 /> Applicant's Signature: ' Date: � �� b� <br /> Reset F�rnn <br /> 3 <br />