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... <br /> "` '�."�,"�`" � �" "�" -�PERMIT FEE CALCUL;A I ` " <br /> �.,.��, �4 _ ..�, _ T ON(S),� �„ <br /> — -� ,,, _� ._. _ _ <br /> �' ':' + �. :`'BASED OFF =2002 STATE STATUE`� . , A��� <br /> �� <br /> � . �; ;,: <br /> .,.; <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;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 $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> µ� .. .� ., . _. . . , . � <br /> �„� °��P;;ERIVIIT�F:EEaCAI;CiJL�ATION S��-".`¢JOBS'OVER�$SQO,�QO <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price wit�a(Minimum Fee of$50.00) <br /> � \, ,-..� p <br /> x.0125$ <br /> (contract p e) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <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 fumished 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 /> "'�"Y°�„�''� �a��1V1EGHA"NIC'AI,�'�PERIVIIT`APPLICATION'-AGREEIVIE .w � <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 /> A licant's Si ature: � �L �_ <br /> pp gn �.9...p `—�_ Date: � J <br /> 3 <br />