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. � <br /> PERMIT FEE CALCULATIQN(S) � � <br /> BASED OFF - 2002 5"rATE STATUE <br /> ❑ Yes, this section applies <br /> The replacement 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; excluding 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 $ 1.00 <br /> Mail-ln Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � _ ��� PERMIT FEE CALCULATION(S) —JOBS OVER $500.00 j <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 /> _ �����. �� X .o�zs � � �. �� <br /> (contract pricc) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> �� . �n1� x .0005 $ j , �JIZ <br /> (contract pricc) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMI'T FEE(Add Lines 1-3 Above) $_�3. �� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work inclading materials, labor, profit, and other fixed costs. It is the amount to be cl�arged <br /> to the customer for the work done. Tf 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 /> �stimated cost or caat�a�t� price fcr permit fee purpose�. In the �vent that there is a dispute er_ the <br /> amount of the job cost, the City may request the subinission of a signed copy of the actual contract. <br /> � MECF�ANICAL YERMIT APPLICATION AGREEMENT __� <br /> The 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 certities that all statements made on this application are complete, true and <br /> correct. <br /> A licant's Si nature: �� � Date: <br /> PP � / ����; � (�l�ti'(�.. (� �j l� �J <br /> 3 <br />