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t� <br /> /. r <br /> �d <br /> PERMIT FEE CALCULATION(S) '�� <br /> � <br /> 2002 State Statute ❑ Yes This Section Applies "k <br /> � <br /> ;-y <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: y <br /> P`~; <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: <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 /> � <br /> State Surcharge $ .50 ;� <br /> Mail-In Fee $ 1.50 � <br /> .t <br /> :; <br /> � <br /> If above does not apply, follow guidelines below: �='� <br /> ;:� <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) � <br /> 'S�a <br /> i�nn. �`= X .oi2s $ j�� 7SJ `�:� <br /> �:4 <br /> (contract price) (minimum$35.00) � <br /> '_� <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) �� <br /> ,_ <br /> �S��,. ��� x .0005 $ "�� j� <br /> (contract price) (minimum$.50) � <br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50 `� <br /> ;� <br /> �a <br /> C�._ ,r0 � <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ l� -- � <br /> °:� <br /> �:� <br /> '�; <br /> a� <br /> ;., <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted 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, Y• <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 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 '�i <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 correct. � `%� <br /> ' �� �a�., <br /> '—L,��— x <br /> Applicant's Signature: �1�� Date: �2— �� ,,� <br /> ;'°[y <br /> Approved By: Date: `'" <br /> 3 �; <br /> _:_• <br /> ; , : <br /> . a ; ' ` � <br /> � <br /> � � <br />�. �� � � ' �`. _� .::. . . :. .� ..�� <br /> � � � i �� a � <br /> # . <br /> . � �,.,. _ . . . ... �_. �.� ,� �..����� <br />