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. , 10-02-'17 15:38 FROM- T-871 P0003/0005 F-237 <br /> PERMIT FEE CALCULATIONS) .' • <br /> BASED ORF" 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;excluding the cost of the 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 $ 5.00 <br /> Mail-In Pee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> '.PERMIT.FEEE,CALCULATION(S),--,JOBS OVER$500;00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1,25%of contract rice with a(Minimum Fee of$50.00) <br /> / l .aT,.T-.��xr, �..•'.47,7 <br /> fi5. `r'�!"it. mi. m .,j I) <br /> 2. STATE SURCHARGE I %I 3 x0 <br /> 63$ . q <br /> AggegfIgig <br /> 3, POSTAGE&HANDLING(Only on Mail-In Applications) c52 . <br /> 4. TOTAY.,PERMIT FEE(Add Lines 1-3 Above) �1,�,�:�.;��:ts;bbb�"'�.�•;t :'.Lri <br /> • * CONTRACT PRICE or JOE 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 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 value of such items must be added to the <br /> estimated cost or contract price for permit fec 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 /> MECHANICAL I?ERMITAPPLICATION 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 is application are complete, true and <br /> correct. <br /> _,/ <br /> //: <br /> Applicant's Signatu e: (? x A /0 ` 2--/7 <br /> I <br /> 3 <br />