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y , . <br /> � <br /> . � ' ' � , , ,,e . , � , � ' ' � � •{ ' . � <br /> ' � PERMIT FEE CALCULATION(S) <br /> ; ,.....� � B�SED OFF� 2002,STATE STATUE , ' � <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or�nliance that meets all three of the following requirements: <br /> , <br /> �� . � • . • � <br /> A � ' <br /> l. . Does no't i�equire`modi�catioii to etectrical or gas service.` � "y � � I ' <br /> � 2. Has a total cost of$500.00 or less;excludin�the cost of the fixrine or appliance: and <br /> , 3. I$ir�pzoved,installed or replaced by the homeowner br licensed contractor. <br /> - • , � • . . . ti <br /> . . :� <br /> Skip next section,if tlus applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 - <br /> Mail-In Fee(IflApplicable),: ' , $ 1�50 . <br /> Total Permit Fee $ � <br /> PERMIT FEE CALCULATION(S) -JOBS OVER$500.00 <br /> `If a'bove does not apply;�fol}ow guid'elines beiow: ' ' ` � ` <br /> , L. C�NTRACT PRICE ;is 1.�5%of-.c6ntract price yYitk a(Minimum•Fee.of$35.00J, <br /> . . f , , . , ., . � . . <br /> �cec:�;,o,�5��0� 7 0o X.o�zs$ � dl8 . <br /> contract price) (minimum$3�.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Stucharge(Nlinimum Fee of$.50) <br /> �� �� � � <br /> � x.000s $ 8 � <br /> (contractprice) (minimum$ .50) * <br /> ;;s <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> � <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted 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 pernut fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the subinission of a signed copy of the actual conn�act. <br /> ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT ARPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> worlc 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 /> ./ ' 0 � � <br /> Applicant's Signature: Y1�5C, Date: �'� � ' <br /> . <br /> � <br /> `;, <br /> 3 " <br />