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, <br /> � PERMIT FEE CALCULATIC}N{S) <br /> BASED OFF- 20�2 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or ap�liance that meets all three of the followin�,require�nents: <br /> 1. Does not rec�uire modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine[he cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced hy the homeowner or licensed contractor. <br /> Skip next section,if this app]ies; Cost of Permit $ I S.Op <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2,00 <br /> Totai Permit Fee $ <br /> ��I'�'��`�������i�T��[t`��:.. 1t??�3���ER.$5�:�'; , <br /> II above does not apply; follow guidelines bclow: <br /> 1. CONTRACT PRICE * is 1?5°Io of contract price with a(Minimum Fee of$50.00) <br /> ��� x .0125 � 'J✓•� <br /> (contract price) (mini�mu $SO.UO) <br /> ?. STA1'E SURCHARGE �-y,,-,�A <br /> '1'�1��� �; .000s � � .� <br /> (contract price) <br /> 3. POSTAGE& I-IANDLING(On(y on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �•� <br /> ■ " CONTRAC"T PRICE or JOB COST means thc actual or estimated dollar amount charged for the <br /> permitted work includinb materials, labor, profit, and other fixed costs. It is the amount to be chargcd <br /> to the customer for fhc work done. If any material, equipment, labor or installations are furnished l�y <br /> the owner, tenant or any other party, the reasonable market value of such items must he added [o thc <br /> estimated cost or contract price for permit fce purposes. In the evcnt tl�at there is a dispute on the <br /> amount of the job cost, thc City may reyuest the submission of a signed copy of the actual contract. <br /> MECHAN�GAL PERMiT APFLICAT�ON AGFtEEMENT <br /> The undersigned herehy applies [o 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 uf <br /> Minnesota, and certifies that all statements maJe on this application are coinplete, true and <br /> correcC. <br /> Applicant's Signatw�e: V1� Date: ������----- <br /> R+�set Form <br /> 3 <br />