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�,: .. ;,, . . . <br /> �I �L� . • . . . .. .. . . . . .. !k <br /> �: <br /> 1 � <br /> �: <br /> PERMIT FEE CALCULATION(S) ;� <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or ap�liance 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 /> ;�a <br /> If above does not apply, follow guidelines below: �� <br /> � <br /> ,� <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) i <br /> � '- <br /> 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 o� <br /> � `1' �, x .0005 $ Z�J. 5� <br /> contract price) (minimum$.50) <br /> se <br /> 3. Posta�e and Handling (Only»:ail-in applications) $ 1.50 ;� <br /> 50 � <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � Z. "' `� <br /> � <br /> � <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 tl:e w�ark dune.If any material, �; <br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items ;s <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 /> � <br /> **The STATE SURCHARGE is.0005 of the contract price under�I,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 Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> `� ( /1' JI <br /> Applicant's Signature: _ `�---� ` O. _ Date: `�—� � - 0`�" `� <br /> Approved By: Date: <br /> '�; <br /> « <br /> 3 <br /> � . . . , . , . v � � ..Gi= � + ���� � 4' <br /> � ' , .- . � � . � , � . . .. -.. . � �,� . I _ � S <br /> t <br />���. . . . . .. .. . � . . _. � - . ' -. . . � .. . � . . i.. . ..,. .,.. 1.:...�..+C�*a�?: . . . ..s . . . � �:/...�.,L.� <br />