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� <br /> � <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> T'he replacement of a Residential fixture or anvliance 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;excl ' the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed coniractor. <br /> Skip next section,if this applies; Cost of Petmit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION S —JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE 'is 1.25%of contract price with a(Minimum Fee of$50.011) <br /> Z Zi DO� x.0125$ �7S �� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE '*Add the State Bldg Code Div. Surcharge(M'in'�mum Fee of 5.50) <br /> ZZ cc�'� x.0005 $ /!.O o <br /> (con acc price) (minimum S .so) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERNIlT FEE(Add Lines 1-3 Above) $ �g$ �� <br /> ■ ' CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> perniitted 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 fiunished 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 perntit 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 signed copy of the actual contract. <br /> ■ *;The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <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: oZ!�l/O <br /> Reset Form <br /> 3 <br />