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��V � <br /> �;F., <br /> �� :; � t i <br /> a�� `�` ��� r <br /> ��. ;� <br /> �f �i <br /> PERMIT FEE CALCULATION(S) <br /> � r'; <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 /> � <br />.;;. <br /> 1) Does not require modification to electrical or gas service. ' <br /> �� � � <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 ar replaced by the homeowner or licensed contractor. <br /> � <br /> ,��. Skip next section; Cost of Permit $ 15.00 <br /> � <br /> State Surcharge $ .50 � <br /> yr 4 � <br /> � �� Mail-In Fee $ 1.50 �, <br /> � <br /> � <br /> � <br />�3 If above does not apply, follow guidelines below: � <br />� <br />� ' 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> r, :� <br /> �� x .0125 $ <br /> � ` (contract price) (minimum$35.00) a. <br /> ;,: ri <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) � <br /> �� <br /> x .0005 $ µ� <br /> (contract price) (minimum$.50) i6 <br /> 3. Posta�e and HandlinS (Only mail-in applicatio�:s) $ 1.50 <br /> �:: <br /> •.�,_ <br /> � �,' 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ;_# <br /> ��::. <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 /> � <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 51,000,000 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 City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Ntinnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> a <br /> � <br /> . a, <br /> Applicant's Signature: Date: � � � —�' 3 <br /> ,�,,;: Approved By: Date: <br /> {� <br /> h 3 p� <br /> P��, �� <br /> F �>� <br />� �� � .. � .� . . ' � � � � 4 3 �_'�%•,.c��b <br />� <br />�.,;`. <br />