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4 <br /> , PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,tl�is section applies <br /> The replacement of a Residential fixture or appliance that meets all tlu�ee 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 iinproved, installed or replacedby the homeowner or licensed connactor. <br /> Skip next section,if this applies, Cost of Pernut $ 15.00 <br /> State Surchaige $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JOBS OVER$500,00 � ' <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 /> rj�� �IOC.� x.0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> x.0005 $ <br /> (contractprice) (minimum$ .�0) <br /> - �. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTP.L PERI�TIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTR.ACT 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 tlie customer for the work done. If any materia!, 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 /> estimaied cost or conh�act price for pernut fee puiposes. 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 conn�act. <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(9�2)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 /> worlc in strict accordance with the ordinances of the City and the regulations of the State of <br /> iV111111zSOta, aIl� CZI'ii17eS ti18t 3ii StBt��ICIitS 1Ti3dC vri t�"i1S 2j�jJIlCa�i011 c1Te CG112p�ete, tI'Ue ui,� <br /> C017"eCt. <br /> Applicant's Signature: Date: <br /> 3 <br />