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P'ERMI'd' FEE �f1LCULATIOi�T(Sl <br /> 2002 State Statute ❑ I'es This Sec�ion Appiies <br /> The replacement of a Residential fixtw-e or a�pliance that meets aIl three of the foIlowing requirements: <br /> l) I�oes not require modification to elech-ical 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 homeo�vner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Maii-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. �'��ztraet �'rice* is .012�°ro of job with a i:'Iinimum Fec of(�35.OQ� <br /> ��•�c=i:� ��� x .0125 $�S ,;� <br /> (contract price) (minimum�35.00) <br /> 2. �tate Surchaa�ae. ** Add the State Building Code Division a Minimum Fee of(�; .50) �� <br /> � �. <br /> �> ���� x .0005 $ � �� <br /> (contract price) (nunimum$ .50) `� <br /> 3. PQst�ge and I�andlia�Q (Only nzai!-i�r applicc�fions) $ �_ "�j� <br /> 4. �'�7'AL �3��7�T �'�� (Add lines I-3 above) $ j S,=U <br /> _ � <br /> *COt�rTRACT PRICE or JOB COST means the actual or estimated dollar amount chargcd for the pe�initted work including <br /> materials,labor,profit,and other fixed costs. It�is the amount To be charged ro the customer for the work done.If any m�terial, <br /> equipment, labor,or installation is furnished 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,i:he City may request the submission of a si�ncd copy of the actuai contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over <br /> �1,000,000 cal!the Department of Inspectional Services for the price. <br /> 7'he undersigned hereby applies to the City for issuance of a Mechanical Pem�it,a�ees to do all work in strict accordance with <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 c,c�ect. <br /> Applicant's Signat�ire: � i �_ � � <br /> Date: �--Y� � <br /> Approved By: I Date: <br /> 3 � <br />