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A . <br /> PERMIT FEE CALCULATION(S} <br /> BASED OFF-ZUt}Z STATE S'TATUE <br /> ❑ Yes,this section applies <br /> 'The replacement of a Residential fixture or agpliance that meets all three of the following requirements: <br /> 1. Dce no require modification to electrical or gas service. <br /> 2. Has a tQ.tz�of$500.00 or less;ex 1 in the cost of the fixture or appliance:and <br /> 3. Is impmved,installed or replaced by the homeowner or licensed contaactor. <br /> Skip ne�ct section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERNIIT FEE CALCULATIaN S -JO�S OVER 5500.00 <br /> If above does not apply;follow guidelines below: <br /> i_ CONTRACT PRICE *is 1.25%of contract price with a(Minimnm Fee of$50.00) <br /> y�.� X.o�25$ 50.� <br /> (contract price) (miaimom SS0.00) <br /> 2. STATE SURCHARGE �� � <br /> x.0005 $ 2. ��` <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S S y G'� <br /> ■ * COIV1'IiACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material,equipment, labor or installations are furnished by <br /> the owner,tenant or any other party,the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost,the City may request the submission of a signed copy of the actuai contract. <br /> A�IECHA�CAL PERN�IT AFPLICATiON AGrREENi�`N'�' <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pernut, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: �"� Date: / �3 / 3 <br /> 3 <br />