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� <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all tlu-ee 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 the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner ar licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee (If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of conh-act price with a(Minimum Fee of$35.00) <br /> � C�O "••c��-� x .0125 $ <br /> contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> t � D� 1 . ��' x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the acttial or estimated dollar ainount 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 fiirnished 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 conh�act price for pernut fee puiposes. In the event that there is a dispute on the <br /> amount of the job cost, tl�e City may request the submission of a signed copy of the actual contract. <br /> _ =r'k The STATE StiRCHARGE is .000� of the Building Department at(952)249-4600 for the price. <br /> MECHAl�ICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the Ciry 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 are complete, true and <br /> correct. <br /> � ` <br /> Applicant's Signature: �` /� � Date: �U�� ��� s� <br /> � �,,,��-rd� w�c,,� `�� l5 � ��f�c� ���c..� /�� Z 7�� S <br /> cs->r-ri-� S�(3 ✓�1�1 rr�T . <br /> ' !t�al►9-L ��s� 3 `7 J -�'�! �LLc'y,�c.`— <br />