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I �I <br /> � , <br /> PERMIT 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 /> i 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> i 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 /> FERl�1IT 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$35.00) <br /> , VV � x .0125$ �• � <br /> � (contract pricc) (minimum$35.00) <br /> 2. STATE SURCHARCE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> � x.0005 $ �• � <br /> (contract price) (minimum$ .50) <br /> � 3. POSTACE&HANDLING(Only on Mail-In Applications) $ L50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> (/ — C) �/ <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 far 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 signed copy of the actual contract. <br /> ■ **The STATE SURCHARGE is.0005 of the Buildin�Departrnent at(952)249-4600 for the price. <br /> MECHANICAL PERIVZIT,AP�'I.,1C�TIC}N A�REEMENT <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 V <br /> 3 <br />