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. _ _, <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ 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; excludinQ the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.001 <br /> � 0 � x .oi2s � � (�OD� <br /> ( ontract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> � �� <br /> � — x .0005 $ �Z . — <br /> (contract price) (minimum S.50) <br /> 3. PostaQe and HandlinQ (Only n:ail-is: applications) � 1.50 <br /> 4. TOTAL PERVIIT FEE (Add lines 1-3 above) $ _� �� � ,5� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted work including <br /> materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.If any material, <br /> equipment,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of <br /> the job cost,the Ciry may request the submission of a signed copy of the actual contraci. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies t ity for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City an e regula 'ons of the ' esota e ilding Code,and certifies that all statements made on this <br /> application are complete, e and correct. <br /> Applicant's Signature: Date: 12 �0/�'�f- <br /> Approved By: Date: <br /> 3 <br />