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r <br /> � <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 Permit $ 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 1lZinimum Fee of(�35.0� <br /> - ��l��U.�i� x .0125 $ ��.�., <br /> (contract price) (minimum�35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> ��i.�,��;: x .0005 $ sZ <br /> (contract price) (minimum$ .50) <br /> 3. Posta�e and Handlin� (O�tdy mai!-irz applications) $ ���j <br /> 4. TOTAL,PERMIT FEE (Add lines 1-3 above) $ �5'�Z, <br /> *CONTRACT PRICE or JOB COST means the actual or es[imated dollar amount charged for the permitted work including <br /> materiafs,]abor,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 furnished by the owner,tenant or any other party the reasonable market value of suc}� 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 5.50-whichever is greater. For valuations over <br /> $1,000,000 cal(the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City 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 Buildin�Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Applicant's Signature: �. �o.. � %r� Date: _�-,�---- <br /> Approved By: Date: <br /> 3 <br />