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.� ` ' ' <br /> . � <br /> � <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; excludin�the cost of thF fiYture 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($35.00) <br /> � �`�O � x .0125 $ �S, U� <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50) <br /> � ��� x .0005 $ • .S1O <br /> (contract price) (minimum$.�0) <br /> 3. Posta�e and Handling(Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 3 �•�� <br /> + ^^�*'*'*� �l�T DAT('F n�i(1R(`(1CT mvanc tlie acMal nr PetimatPr�r�nllar amn�mt rharaPA fnr thP nrrmittPri wnrlr inrin�ina <br /> ma�cnais,iabor,protit,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 mazket value of such items <br /> must be added to the estimated cost or contract price for permit fee purpo�zs. In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of the actual contract, <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 to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and conect. <br /> Applicant's Signature: �� Date: .3'0� O <br /> Approved By: Date: <br /> 3 <br />