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� � � <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or a�pliance 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: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> "? r <br /> ' f _.�j X .O 12S $ .�•✓ ,C�CJ <br /> (contract price) (minimum$3�.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($.50) <br /> �! <br /> G'C�✓ ���'x .0005 $ �-��`r ::�'� <br /> (contract price) (minimum$ .50) <br /> 3. Postage and Handlin�(Only mail-in applications) $ 1.50 <br /> - -� ,- <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ =%->• �`' <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dol(ar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.If any material, <br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> 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 contract price under$1,000,000 or$.50-whichever is greater.For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Applicant's Signature: ��-�- �--- ' Date: t� �>/U <br /> Approved By: Date: <br /> 3 <br />