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PERMIT FEE CALCLTLATiON{S) <br /> I BASED,OFF 062--SSTATIE <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- or less;_excIudine the costofthe 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 $ .50 <br /> Mail-in Fee(If Applicable); $ 1.50 <br /> Total Permit Fee $ <br /> PERM 'FEE CALL TIQN(S —30B�OVER.$SD00 <br /> . (1 . <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 135%of contract price with a{Minimum Fee:of <br /> S35.Ot1) <br /> ix.0125 <br /> (Cad"ct'prite) {minimum 535.00) <br /> 2. =STATE SURCHARGE **Add-the State Bldg Code Div.Surcharge(Minimum Fee of S.50) <br /> X 6005 $ -- <br /> �(coiltracE[price} (minimum S'.50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4, TOTAL PERMIT FEE(Add Lines 1-3 Above) S <br /> ■ * CONI RACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit;andother,fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment,labor or installations are furnished by <br /> the owner,tenant or any other,party,the reasonable market,vahie of such items must be added to the <br /> estimated cost or contract price for permit fee purposes In the event tha# there's 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$TATESURCHARGE is_0003 of the$uilding Department at(952)29-4600 for the price <br /> MECHA FICAL PERMIT AMICATTON.AGPiEEIVIENZ' <br /> The undersigned hereby applies to the City for issuance of a MechanicaF 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 rnade'on this application are complete; true and. <br /> correct. <br /> A licant's Si latur Date: <br /> p17 - <br /> 3 <br />