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• 03-26-' 18 08:46 FROM- T-711 P0003/0005 F-181 <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF-.2002 STATE STATUE <br /> D Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Doe 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 S 1100 <br /> State Surcharge S 5,00 <br /> Mail-In Fee(If Applicable) $ 2.00 <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. CONT)3QTYRICE *is 1.25%of contract pricwith a(Minimum Fee of 550.00) <br /> ) • <br /> Sgont ni riga (0.41/4409.4.6 <br /> 2. 5.16M1.. Jr;CHA,RC Ce.-7��o <br /> (IQit) .ol.f;ri�J <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) <br /> 4. TOTAL,PERMIT FEE(Add Lines 1-3 Above) ` <br /> ■ 4' 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 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 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 /> 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 on this application are complete, true and <br /> correct. <br /> /e / <br /> Applicant's Signature: lljj <br /> 3 <br />