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� � � <br /> PERIVII'T FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE 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. 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:and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge � .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> �'ERMTT�EE CALCULATIQI�T � ;�-;�OBS OV�R$��30.Q4 <br /> If abovc does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25'%of contract price with a(Minimum Fee of$35.00) <br /> ✓�li � <br /> � X.oi2s� ��� • c'rl'' <br /> (contract pricc) (mi�imum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> � � <br /> f �I)� x.0005 $ �` U� <br /> (c' tractprice) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���l[/ ��� <br /> • * CONTRACT PRICE or JOB COST means the actual or esrimated 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 permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a sib ed copy of the actual contract. <br /> ■ ** The STATE SURCHARCE is.0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANI�A,�;���.MIT APPLICATION AGR�EMENT ; <br /> The undersigned 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 /> Applicant's Signature: � '�' ' ' `� Date: ����"�� <br /> � <br /> Reset Form <br /> 3 <br />