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� <br /> � ' �Yti� <br /> ;;' <br /> . <br /> � <br /> � �� <br /> �`i� <br /> PERiVIIT FEE CALCULATION(S) � <br /> �� <br /> 2002 State Statute ❑ Yes This Section Applies ;;� <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: ;r� <br /> :,� <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 j <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 p <br /> Mail-In Fee $ 1.50 ''� <br /> :4 <br /> � <br /> �� <br /> �� <br /> If above does not apply, follow guidelines below: a <br /> �� <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) ;�� <br /> � -3�� x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) � <br /> x .0005 $ <br /> � <br /> (contract price) (minimum$.50) :� <br /> 3. Posta�e and Handlin� Onl mail-in a lications �� <br /> � Y PP ) $ 1.50 �� <br /> E$ <br /> � <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � <br /> � <br /> � <br /> °.�; <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including `�r <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, ;:a� <br /> equipment,labor,or installation is furnished 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 /> `�? <br /> h� <br /> **1'he STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over � <br /> 51,000,000 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 'ry� <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> appli�ation are complete,true and correct. � <br /> � <br /> � <br /> Applicant's Signature: � .�—� ���; ,� �T; S�j;`� Date: � J `/ U _ <br /> Approved By: Date: � <br /> 3 � <br /> � <br /> . �� a� x � <br /> ��� � ', . . .. � �� :l �„# � } 'Y <br /> �: Y <br /> +' . . . . . . � � �' � f:� <br /> . . . . . . . �� �V� �KW <br /> I . ' � . . " . . , 4 J �� � � !: <br />. . � �.: .; � �. �' <br /> �. <br /> - �'�. � '�2 } <br /> .`f - $� , , �� �.. - � - � � <br /> � . - a : <br /> Z � �. . . .. . �.. .... .Z�F.-A`..?"«i�. � <br /> t 1 . . . � � . . .. � . �.. n , . . . , .4s _. .. _ e ..�.a�. _ ,_ ,_ � .._,,... ..._.< +h�d! <br />