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� � ; <br /> . � <br /> re <br /> rx <br /> '�,�' <br /> ?� <br /> 4 <br /> '" " � <br /> a <br /> . <br /> , PERMIT FEE CALCULATION(Sl � <br /> 2002 State Statute ❑ Yes This Section Applies � `� <br /> �� <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> x <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 <x <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. - <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 q <br /> s <br /> ; <br /> If above does not apply, follow guidelines below: � <br /> .3 <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) '`'! <br /> � <br /> �i�a 70-1.C� x .0125 $ �y(o, 3� � <br /> contract rice � <br /> � P ) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of � � <br /> ($ ...0) ; <br /> �: <br /> (Q 7, ���'7.c�x .0005 $ ����� <br /> (contract price) (minimum$.50) �- <br /> `; <br /> �� <br /> 3. Postage and Handlin� (Only mail-in applications) $ —r-�- � <br /> � <br /> � <br /> � <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ��,� � F <br /> � <br /> �*CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> marerials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done.If any matenal, � <br /> equipment,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items � <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 /> F� <br /> **T'he STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over " <br /> $1,000,000 call the Department of Inspectional Services for the price. � <br /> T'he 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 Mi nesota State Building Code,and certifies that all statements made on this "� <br /> application are complete,true and corre t. � <br /> / °� <br /> _� <br /> Applicant's Signature: G /-7 � <br /> Date: Q� .& <br /> •� <br /> Approved By: Date: � <br /> � <br /> ;,a <br /> 3 � <br /> :� <br /> �� <br /> �: . ,�� <br /> , <br /> , � <br /> , <br /> , <br /> � <br /> , , <br /> , :. <br /> _ � � � " <br /> , : . . � - � <br /> , : �m <br /> , . _ .: - ., v : . ��� _� <br />