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. � <br /> PERNIIT FEE CALCULATION(S) <br /> BASED OFF-2042 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixhtre or a�pliance that meets all thrcc of the following requirements: <br /> 1. Does not require modification to electrical or gas sen•ice. <br /> 2. Nas a total cost of$500.00 or less;excludins the cost of the fixture or appliance:and <br /> 3_ is improved,installed or replaced by the horneowner or licensed con�actor. <br /> Skip next section,if this app�ies; Cost of Permit $ 15.00 <br /> State Snrcharge $ I.00 <br /> Mai]-In Fee(If Applicabie) $ 2_UO <br /> Tota!Permit Fee $ <br /> PE1t1VIlT FEE CALCULATIOlV S —70BS O'VER$500.00 <br /> If above does not apply; follow guidelines below: <br /> i. CONTRACT PRICE # is 1.25%of contract price with a(Vlinimum Fee of$50.00) <br /> 1, cc�� x.0125$���_ <br /> (contract pricc) (runimum�Sd.00) <br /> 2. STATE SURCHARGE <br /> �, � x.0005 $ �� � <br /> (conuact prix) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,00 <br /> 4. TOTAL PERMTT FEE(Add L'mes 1-3 Above) S_ �� . c:J'�� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dolIar amount charged for the <br /> permitted work inctuding materials,labor,profi�and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, eyuipment,labor or installations are furnished by <br /> the owner, tenant or any other parcy, the reasonable market vatue of such items must be added to the <br /> estimated cost or coniract priee for permit fee picrposes. In the event that there is a dispate on the <br /> amaunt of the job cost, the City may request ihe submission of a signed copy of th� actual contract. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pern�it, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> vlinnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> ApplicanYs Signature: Date: � � I��I 6� � `�j <br /> 3 <br /> �'d 686E-09ti-Z96 6ui}eaH souiy d8Z�60 9 L ZO^�N <br />