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� , . <br /> PERI�vgI'I'FEE �ALCULATION(S) <br /> 20Q2 5tate Statute ❑ Yes This Section Appdies <br /> The replacernent of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1} Does not require modification to electrical 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 replaced by the homeowner or Iicensed contractor. <br /> Skip next section; Cost of Pennit $ 15.00 <br /> State Surcharge � .50 <br /> Mail-In Fee $ l.50 <br /> If above does not apply, follo��guidelines below: <br /> 4. �'�rztrae4 I��•ic:e�� is .012�% of job with a'4�in�r��um �'ee �f�5�5.001 <br /> � <br /> � C� .:'�' x .0125 $ j'S _� <br /> (contract price)� (n7inimum�35.00) <br /> 2. �tate Surci;arae. **Add the State Building Code Division a�Iir�imum �'ee of�$ .50) <br /> ��. �= x .0005 � -.5� <br /> (co»tract price) (minimum� .50) <br /> 3. Pcas�a�e and �I�ndiin� (D�ilj�nzail-in ap�licaEio�rs) � �f� <br /> 4. '�'��'AI, ���I� �T� (Add lines 1-3 above) � \���-r; <br /> �`CONTRACT PRICT or JOB GOST means d1e actual or estimated dollar amount chareed for the permitTed work including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged fo the customer for the work done.If any materiai, <br /> equipment,labor,or installation is furnished by the owner,tenant or any otner party the reasonabie market value of such 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 amount of <br /> the job cost,the City may request the suomission o2 a siened 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 /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the Ciry for issuance of a Mechanical Pern�it,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true a ect. <br /> Applicant's S�iature: %u,� - ti`- Date: C�. ' ,�� <br /> Approved By: � <br /> Date: <br /> 3 I <br />