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+f'- <br /> �' . �, <br /> � ��'��������-PERMIT FEE CALGULATION S <br /> , _, .., . � ) ,�. , .. <br /> �*��?�r��'.bs��+�'.r�w�x»�«�g�-.. ...: ._ . , _ <br /> -��-�--���.k��:�x����BASED OFF -2002 STATE STATUE i� <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 less; excludino the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> �' ��"" "'�F-PERMIT-FEE C'ALGULATION S -JOBS OVER$500.00 — <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRiCE * is l.25%of contract price with a(Minimum Fee of$50.00) <br /> 5,200.00 X .o,2s $ 65.00 <br /> (contract price) (minimum$�0.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) <br /> 5,200.00 X .000s $2.60 <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOT'AL PERMIT FEE(Add Lines 1-3 Above) $69.60 <br /> ■ * CONTRACT 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 the customer for the work done. If any material, 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 /> estimated cost or contract price for permit fee piarposes. 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 contract. <br /> ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. <br /> rk� �a�`° ��� ��r4P1VIECHANI'CAL�PERMIT APPLICATION AGREEMENT <br /> Tl::; undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application ace compiete, true and <br /> correct. <br /> Applicant's Signature: Date: l/ S c��d <br /> ��. - �¢:.�,t� <br /> ,Rese#`Form�n 3 <br /> 1� : =a_.., , <br />