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, , , R <br /> , ; <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement 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 licensed contractor. <br /> Skip next section; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.001 <br /> /SOv� x .0125 $ ��, �5 � <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> /��v x .0005 $ � 7� < <br /> (contract price) (minimum$.50) <br /> 3. Posta�e and Handlin� (Only mail-in app[ications) $ 1. <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,3 �� �� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including ' <br /> materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.If any material, <br /> equipment,labor,or installation is fumished by the owner,tenant or any other party the reasonable 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 submission of a signed 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 /> $I,000,000 call the Deparhnent of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with i <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 and correct. <br /> A licant's Si ature: �/ GZir��liL� /O O <br /> Pp � Date: �P L <br /> Approved By: Date: <br /> 3 <br /> �, <br /> , �:. � <br /> �. . .. � �. � . . . . �.� .. � . . . , . e. . <br /> . . . . . . � � � . .. . � _ � - .. � . . . . . .�. . .. ... .. ,.. . .. .. . �. F��.. <br />