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i <br /> � PERM�IT FEE CALCULATION(S) � �� <br /> BASED OFF -2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or ap lip ance 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 $ SO <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 /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 4,000.00 x.O12S$ 50.00 <br /> (contract pricc) (mi�imum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fec of$.50) <br /> 4,000.00 x .0005 � 2.00 <br /> (contractpricc) (minimum$ .5�) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 52.00 <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amc>unt 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 instaDatiuns are furnished by <br /> the owner, tenant or any other pattiy, 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 tl�at ther� 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 /> MEGHANICAL PERMIT APPLICATIQN AGREEMEI�T <br /> The undersigned hereby applies to the City far 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 certi�es that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: 05/07/10 <br /> Reset Form , <br /> 3 <br />