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01-16-'18 12:29 FROM- T-416 P0003/0010 F-838 <br /> � . . <br /> � PERMIT FEE CALC�UY.ATIQN{S)�. . , <br /> � BASED OFF-2002 STATE STATUE <br /> ❑ 'Yes,this section applies <br /> 'Phc replacement of a Residentia!fixture or a liancz that meets all three of th�fo!lowing requirements: <br /> 1. Does not require modification to electrical or gas se�vice. <br /> 2. �Tas a total cost of$500.00 or Itss;excludin�the cast of thz fixture or appliance�and <br /> 3. Ts improved,installed or replaeed by tht homcowner or licenscd contractor. <br /> Skip next section,'rf this applies; Cost of Permit $ 15.00 <br /> State Suroharge $ 5.00 <br /> Mail-In�ee(Tf Applicable) � 2.00 <br /> Total Perrnft T�ee $�,,, <br /> .... . :....: .. .... ... . .. . . ,.. ,..... . .. . <br /> PERIVIIT FEE CA�,C�ULATION(S)=JOBS O'VER$500:Op <br /> Tf above does not apply;follow guidelines below: <br /> 1. CO1VT�tACf pRTC� �" is 1.25%of contrac�ricc with&(1Vlinimum Fee of$50.00 <br /> � -��t � � <br /> l �d-��::��y � -��. -�<:���� <br /> m m�� , <br /> 2. STAT�SU�tCHAItG� 'rj C¢ <br /> 1. � X �fl. . s'::� 2 � <br /> "e <br /> 3. POSTAGE&HANDLiNG(Only on Mail-In Applications) � �;^rt:'.°`s}`:'.; <br /> 4� 'X'01 AX,p��1YT���(Add T,ines 1-3 Above) "h�:��,:lXea.a ',��f;c"r�:^i"' <br /> • " CONTR.ACT PRICE or JOB COST means the actual or estimRted dollr�r amount cliarged for the <br /> permitted work including mater;als,labor,profit,and other fixed costs. Xt is the amou,it to be el�arged <br /> to tlic customcr for thc work donc_ If any material,equipment,labor or installations are furnished by <br /> the orvner,tensat or any other party,the reasonable market valuc of such items must be added to the <br /> estimated eost or contrttet priee for pern�it fcc purposes_ In thc cvcnt that there is a dispute on the <br /> amount of thr job eost, the City mAy request the submission of a signed eopy of thc actual contract. <br /> � MECHANIGAr,p��T AppLICA'r'YON'AG�EMENT �: � � <br /> The undeisigned hereby applies to the City for issuance of a Mechanical permit,agrees to do all <br /> work in strict accordance with the oedinances of the City and the regtilations of the State of <br /> Nlin�z�esota, and certifies that all statements made on this application are camplete, true and <br /> con•ect. <br /> Applicant'sSignature: I7�f�;'•_�f(�"rl �_ <br /> 3 <br />