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J • ► <br /> � <br /> PERMIT FEE CALCULATION(S) � <br /> �� �� �� BASED OFF - 20Q2 STf�TE STATUE�� ��� <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Uoes not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ I 5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � -- PERMIT �'EE CALCULATIOI���������t�������'DO ' <br /> If�above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is I.25%of contract price with a(Minimum Fee of$50.00) <br /> �- <br /> '`�_.��,,f.' x.0125$ " ��i <br /> (contract price) (minimum�50.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum 1�'ee of�.50) <br /> �? _T!� x.0005 $ 't`�' <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 7� �G <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for pern�it fee purposes. In the event tliat there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contraet. <br /> ■ '"* The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICAT�ON AG�EEIv1�NT <br /> The ��ndersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. ,� <br /> /! - <br /> �� r Date: (�- /�� <br /> Applicant's Signature: , C � <br /> Reset Form <br /> ,1 <br /> �' 3 <br /> � <br />