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Sw30-2004 02:07pm From-CITY OF OR01IO +9522494616 T-940 P-003/003 F*138 <br /> PERMIT FEE C A O S <br /> 2002 State Statute ❑Yes This Section Applies <br /> The replacement of a Residential fixture or alae that meets all three of the following requirements: <br /> 1) require modification to electrical or gas service. <br /> 2) Has a lg 1 cost of$500.00 or less;j3gLudin the cost of the fixture or appliance: <br /> and <br /> 3) Is improved,installed or replaced by the homeowner or licensed contractor. <br /> SldP next section; Cost of Perrtdt S 15.00 <br /> State Surcharge S .50--- <br /> Mail-In Fee T 1.50 <br /> If above does not apply,follow guidelines below: <br /> 1. Contract Pte*is.0125%of job with a Minimum Fee of M5.00) <br /> 4-5-15 x.0125 $ <br /> (contract price) (minimtmt$35.00) <br /> ** vision a Minimum Fee of .50 <br /> 2.date Snnharte. Add the State 13utl1mg Code Ii <br /> L43-7 5 t.0005 $ <br /> (contract price) (minimum S.50) <br /> 3.Posta¢e and Handling(Only mail-III utppliC &P11s) $ 1.50 <br /> 4.TOTAL PERIMT FEE(Add lines 1-3 above) <br /> •CONTRACT PRICp.or JOB COST means the actual or estimated dollar amount charged for the perntitted 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 famished by the owner,temnt or any other party the reasonable market value of such items <br /> irsia 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 S 1,000,000 or$.50-whichever is greater.For valuations ova <br /> S 1,000,000 can the Deputment 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 trade on this <br /> application are comptae,true and coma. <br /> Applicant's Si tore: <br /> Date: —30 —0 <br /> Approved By: Date: <br /> 3 <br />