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� '. <br /> PERMIT F'EE CALCITI.ATION(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 /> I <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> ��� I x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .501 <br /> x.0005 $ <br /> (contract price) (minimum$.50) <br /> 3. Postage and Handling(Only mail-in applications) $ 1.50 <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 permitted work including <br /> materials,labor,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 fumished by the owne�,tenant or any other party the reasorable 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,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$1,000,000 or$.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 a(1 work in strict accordance with <br /> f{.o.,..i:.,o.,�o�.,f tl.A('�t.��r..1 tF.A�Pr,��loN...,o.,f tl.A AA:.,..o�.,r�Cr.,rv R..:1.7:...,!'...70 .....J..o.�:F.e..�l...t..11 � �,.a..,.�.t,:,. <br /> .................w.,.........�..� ..........,..,b............,................wv...vww._.�.u.a.aab.,v , .0 a,..a u..w u.u�ua�oiFaiCiiiC.iii�uiau�,vu uu� <br /> application are complete,true and conect. <br /> Applicant's Signature: i��t.aZ.� �k �� ;'� �fY z �-' Date: C� ��J�L�� <br /> Approved By: Date: <br /> 3 <br />