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r <br /> L <br /> � � <br /> ; �° ���� t��{�.+n�t'��7r��bR�Y`'"-�''�PERMIT FEE``CALCUL,A'TION(S)a���, ` �° �� ;�;- � � � <br /> 1�_�1�~S,i�Ay+ fiy �ti ���/'tijrii5�i F�,..= u,..�L tivlNr t)? �.w�r�s l.�.�Y4-�cC�� <._:'4F��y�' l�r J L T�"�y r tr l . .�'� <br /> �.'':�;;4�.��..f;�',�%�,'��;4�•�`.�i.�$ASED:OFF;`'20025.'I'ATESTAT'UEY�`,�': ��?����r :r.�.':.'.� <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 tess;excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeo�vner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surchar�e $ .50 <br /> Mail-In Fee(If Applicable) $ 1.�0 <br /> Total Permit Fee � <br /> �`�- -`� �=::��`�-�- PERMIT FEE CALCUI;ATION S �=JOBS OVER$500.00 - <br /> If above does not apply; follow�uidelines below: <br /> 1. CONTR4CT PRICE * is 1.2�°'0 of contract price with a(`Iinimum Fee of S35.00) <br /> aqoa� . .o��� S �, ��2.� <br /> ( onv�ct pnc.j (minimum 5S�A0) <br /> 2. STATE SLRCH.-�RGE *' Add the State Bld�_Code Div. SurcharRe (�tinimum Fcc ofS.�Q) <br /> � a� oa� . .000, s �� .� <br /> (contract price) (minimum 5 50) <br /> 3. POSTAGE �: HANDLI�iG (Onl}� on �tail-ln Applications) S 1.�0 <br /> -4. TOTAL PEFLIIIT FEE(.�dd Lines 1-3 ?�bove) 5 0 <br /> • * CONTR�CT PR10E or JOB COST means the actual or estimated dollar amount char:ed for tlie <br /> permitted work including materials, labor, profit, and other fired costs. It is the amount to be char:ed <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 re�sonable 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 Ciry may request the submission of a si�ned copy of tl�e actual contract. <br /> • **The STATE SURCHARGE is .0005 of the Buiidin�Department at(9�2)249-4600 for the price. <br /> - � _'�MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersiened reby a ies to the City for issuance of a Mechanical Permit, a�rees to do all <br /> �vork in strict cordance �v� the ordinances of the City and the re�ulations of the State of <br /> Iviinnesota, a certifies that l statem s m on t is application are cocnplete, true and <br /> correct. <br /> Applicant's Si�na Date: V1 W <br /> ,�� Reset Form� . <br /> . "�'... ......:.... . <br /> , <br /> � <br />