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04-25-'18 13:34 FROM- T-839 P0003/0004 F-323 <br /> i <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> [� Yes,this section applies <br /> The replacement of a Residential fixture or aonliance that meets all three of the following regvirctnentss <br /> I. D_O require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excluding the cost of the fixture orapplianee:and <br /> 3. Is unproved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge S 5.00 <br /> Mail-In Fee(If Applicable) $w 3.00 <br /> Total Permit Fee S <br /> PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 <br /> If above does not apply;Follow guidelines below: <br /> I. CONTRACT PRICE k is 1,25%ofcontract price with a(,Mininnun Fee of$50.09) <br /> x.0125'x. <br /> (co rac price)' DiinihiantMAO)' <br /> 2. STATESURCHARGE 9YT x,0003 $. <br /> (costtact price) <br /> 3. POSTAGE R HANDLING(Only on Mail-In Applications) $_ am <br /> 4. TOTAL PER\IIT PEE(Adel Lines 1.3 Above) S S-7 Jc <br /> y " CONTRACT PRICE or 10B COST means the actual or estimated dollar amount chnrged for the <br /> permitted work including materials,labor,profit,anti other fixed costs. It is the amount to be charged <br /> to the custaner for the work done. [rally material, equipment. labor or installations are furnished by <br /> the owner,tenant or oily 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 rhat there is a dispute on the <br /> amount of tht job cost, the City may request the submission of a signed copy of die actual contract <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 oil this application are complete, true 111(1 <br /> Correct. <br /> Applicant's SignattlYe: Date: <br /> 3 <br />