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1 ' <br /> ,... <br /> �ERMIT FEE CALCULATION{S) <br /> • BASED OFF-�002 STATE STATUE <br /> ❑ Yes,this section appties <br /> The replacement of a Residential fixture or a�pliance that meets all three of the following requireinents: <br /> l. Does not require modification to electrical or gas service. <br /> 2. Has a total cos[of$500.00 or less;excludine the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 1�.00 <br /> State Surcharge $ 5.0O <br /> Mail-�n Fee(If Applicable) $ 2.00 <br /> Totai Permit Fee $ <br /> PE�i`�'���`+��4.�,:C:��:;ibi'�4'����)�=.fQ��C3`J�R$50ft�.04 -� <br /> [f abovc docs not apply: follow guidelines below: <br /> L CONTRACT PRICE * is 1.25 io of contract price with a(Mini�mm� Fee of$SO.UO) <br /> �� a .�I25 $ "I �.�"� <br /> (contract price) (minimum$�OAO) <br /> ?. STATE SURCHARGE <br /> x .0005 $ �•�� <br /> (con[rac[price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ I�D `�[ � <br /> ■ ' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pennitted work including materials, labor, profit, and oCher fixed costs. It is the amount to be eharged <br /> to the customcr for Che work done. IF any matcrial, equipmcnt, labor or installations arc furnished by <br /> the owner, tenant or any olher party, th� reasonable market value of such items musl bc added to the <br /> cstimated cost or contract price for permit fce purposes. In the event that therc is a dispute on the <br /> amounf of the joli cost, the City may reyuesl the submission of a signcd copy� of the actu,al contract. <br /> MECHANICAL;1'��tMiT APPLICAT`ItJN AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in sh�ict accordance with the ordinances of the City and the regulations of the State of <br /> Minnese�ta, and certifies that all statements ma�le on this application are c�mplete, true and <br /> correct. <br /> Applicant's Signature: _��� Date: --�_���_�------ <br /> ��.'S@��dCt1'1 <br /> 3 <br />