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� <br /> � : <br /> .` . �r <br /> >-; <br /> � <br /> PERMIT FEE CALCULATION(S) " <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: 'i <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 replaced by the homeowner or licensed contractor. ; <br /> . <br /> Skip next section,if this applies; Cost of Pernut $ 15.00 �� <br /> State Surcharge $ .50 „� <br /> Mail-In Fee(If Applicable) $ 1.50 � <br /> Total Permit Fee $ `;j <br /> � <br /> a{ <br /> PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 '° <br /> .;� <br /> If above does not apply; follow guidelines below: ;��� <br /> 'Y <br /> 1. CONTRACT PRICE *is 1.25%of contract pri�th a(Minimum Fee of$35.00) <br /> �IDD�J X.oizs $ ����_�� <br /> (contract price) (minimum�3�.00) `' <br /> tr <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) � <br /> � <br /> x.0005 $ '''" <br /> (contract price) (minimum$ .�0) '�' <br /> 3. POSTAGE&HANDLING(Oi�ly on Mail-In Applications) $ 1.50 <br /> `:� <br /> ;•� <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ■ * COI`TTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far the <br /> pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are fiu-nished by <br /> the owner, tenant or any other parry, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for perrnit fee puiposes. 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 conri�act. <br /> e **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. `�� <br /> ;, <br /> ;::� <br /> MECHAI�IICAL PERMIT APPLICATION AGREEMENT <br /> <�;. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> worl: in strict accordance with the ordinances of the City and the regulations of the State of �` <br /> Minnesota, and certifies that all statements made on this application are complete, true and � <br /> �j <br /> correct. `�;� <br /> :`� <br /> , __� 'ti; <br /> Applicant's Signature: �r,+-���Gt/ Date: 9��y��.-5 � <br /> 3 '� <br /> �> <br /> •� <br /> ,. � , � < <br /> J <br /> � � ; � <br /> ,,: ., _ r-` . ., i«i'e <br /> � �. �.��.,.,. � � <br />