Laserfiche WebLink
4� <br /> PERMIT FEE CALCL�LATION{S) <br /> BASED OF�- 2002 STA'TE STA"TUI; � <br /> ❑ Yes,this section applies <br /> Tl�e replacetnent of a Residential fixture or a�pliance 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;excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved, installed or re�laced by the homeowner or licensed contractor. <br /> Skip next section, ifthis applies; Cost ofPermit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> ' P�I�:11�I'T'FEE C'ALCULATI�N S)-10BS C�VER��OO.tI� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> I� VV� x .0125 $ �` (J •�� <br /> (contract pnce) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> l�, �00�" X .000s $ 8."i� <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Ap�lications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��' �� <br /> ■ * CONTRACT PRICE or JOB COST meai�s the actual or estimated dollar amount charged for the <br /> permitted work includii�g materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work do��e. If any material, equipment, labor or iustallations are furnished by <br /> the owner, tenant or any otl�er party, the reasonable market value of such items must be added to the <br /> estimated cost ar contract price for permit fee purposes. 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 coi�tract. <br /> ■ **The STATE SURCHARGE is.0005 times tlle Contract Price or a minimum of$5.00. <br /> ,. <br /> .. n�z��xANICAz�� z��P�Lzea,�rzo�r��a������ �� ' , <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> wark in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all .s�ateine�lts made on this applicarion are complete, true and <br /> correct. j� <br /> � <br /> � � 3-2�c-Zo l l <br /> Applicant's Signature: � Date: <br /> Reset Form 3 <br />