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;�i""I f� <br /> t ':�"� <br /> i . <br /> 5a <br /> . '� <br /> i K."•� <br /> �� <br /> PERMIT FEE CALCULATION(S) ':� <br /> <<� <br /> � <br /> 2002 State Statute ❑ Yes This Section Applies � <br /> :� <br /> The replacement of a Residential fixture ar appliance that meets all three of the following requirements: ;� <br /> �a <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: ���, <br /> and �, <br /> 3) Is improved,installed or replaced by the homeowner or licensed contractor. � <br /> .�, <br /> Skip next section; Cost of Pernut $ 15.00 ', <br /> State Surcharge $ .50 �� <br /> Mail-Ln Fee $ 1.50 `#� <br /> �.:� <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 /> � ,�-���' x A 125 $ <�� C�� � <br /> (contract price) (minimum�35.00) � <br /> ::� <br /> 2. State Surchar�e. **Add the State Building Code Division a Minimum Fee of($ .50) �W <br /> �_3��� X .000s $ (� I,� �� <br /> (contract price) (minimum$.50) ''� <br /> t:� <br /> 3. Postage and HandlinQ (Only nsail-in applications) $ 1.50 °.;� <br /> '>a <br /> � � <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� �.(�� � <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, '''_ <br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items 'r;� <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 /> �� <br /> � <br /> **The STATE SURCHARGE is.0005 of the contract price under S 1,000,000 or$.50-whichever is greater.For valuations over �` <br /> $1,000,000 call the Department of Inspectional Services for the price. � <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with ;; <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this �;� <br /> application are complete,true and corr . ;�',� <br /> I �-- / �j <br /> Applicant's Signature: Ct�"_ Date: (� ���3 � <br /> �; <br /> Approved By: Date: ��`' <br /> .:>�r <br /> 3 <br /> <,� <br /> :�_ <br /> d.. <br /> �T <br /> �; � <br /> ��;. <br /> ; ; <br /> . � <br /> , <br /> � <br /> . .. . , , . _, _ �. , _. .$:� <br />