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� ' � <br /> , �EIZIV�IT FEE CALCULATION(S) <br /> 2002 State Statute ❑ 1'es 'I'his See�ion A�pfies <br /> The replacement af a Residential fixture or a�pliance that meets aIl three of the following requirements: <br /> 1) Does not require modification to elech-ical or gas service. <br /> 2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replacecl by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ ].50 <br /> If above does not apply, follow guidelines below: <br /> 1. Co�t�r�Ut ��-ice* is .0125°io of job with a 1�'Eindmum Fe�:c�f�'�3� 00) <br /> � , � <br /> -���:D.e�-. x .0125 �_ ��J <br /> (contract price) (minimum�35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a 1�'�iraimum Fee of($ .501 <br /> ��o `� �x .0005 $ - �. �i.5 <br /> (contract price) (minimum� .50) <br /> 3. PostaQe arad �3anddin� (Orely mai!-iri applic�tior�s) $ �_ <br /> 4• 'I'�'�'�.lL ���I�'�E� (Add lines 1-3 above) � `c�� ,�`� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the perrnitted wor)c inciuding <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the cuscomer for the work done.If any material, <br /> equipment, labor,or installation is furnisned by the owner,tenant or any other party the reasonable market value of sucti 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 airount of <br /> the job cost,the City may request the submission of a signed copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over <br /> n],000,000 cal(the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pern�it,agrees to do a11 work in strict accordance with <br /> the ordinances of the City and the regulations of the tviinnesota 3tate Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> � <br /> �� <br /> Applicant's Signature: � ��� Date: _� �1 ��, ` <br /> Approved By: Date: <br /> � <br /> 3 I <br />