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Dec 04 15 01:04p SJ Fisher Construction 9524742108 p.3 <br /> � �'ERMIT FEE C�.LCULATION{S) <br /> ' ` BASED nFF-2Q02 STATE'S'T`t�TUE : : <br /> ❑ Yes,this section applies <br /> The replacement of a Residentia] fixture or appliance that r►�eets all three of the following requuements; <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a totaE cost of$500.00 or less;excludine the cost of the fixtwe or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor_ <br /> Skip next section,ifthis appiies; Cost ofPermit $ ISAO <br /> State Surcharge $ 1.00 <br /> Mail-In�'ee(If Applicable) $ 2.00 <br /> Tot�l Permit Fee $ <br /> PERMIT FE�CALGULATI(1N S -JOBS (7VER$SQO.Oa <br /> If above does not apply;follow guidelines beiow: <br /> 1. CQNTRACT PRICE *is L25%of contract pri�e witJ�a(Minimum Fee of�50.00) <br /> �,� <br /> r� '�� � x.(}]25� <br /> (contractprice) {minimum$StI.OU) <br /> 2. STATE SURCHARGE <br /> x,0005 $ <br /> (conaact price) <br /> 3. POSTAGE&H�M7LTNG(Only on Mail-In Applications) $ 2.00 <br /> 4. '�OTAL PERMIT rEE(Add Lines i-3 Above) $ <br /> ■ '" CONTRACT PRICE or JOB C4ST mcans t}te actual or estimated dollaz an�ount charged for the <br /> pennitted�vork including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any matenal, equipment, labor or installations are furnished by <br /> the owner, tenant or any ofher parfy,the reasonable market value of such items must be added to the <br /> estimated eost or contract price for pernait fee purpuses. In the event that there is a dispute on the <br /> arnount of the job cost, the City rnay request the submission o�'a signed copy of the actual contract <br /> _ �vfECHANICAL PERIt�T APPLICATiON AGREEIv�NT <br /> The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> wark in strict accordance with the ordinances of Ehe City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: � Date: �"Z - � —�� <br /> 3 <br />