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� � � � � � � PERMIT FEE CALCULATION(Sj ��� � � � <br /> �� � � � � � BASED{)�F — 2002 STATL���f`ATUE � � �� � �� � �� <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;excludin�the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip ne�ct section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERIV�'I`FEE CALCULATION Ss���J{�BS OVER$500:00 `�' <br /> If above does not appLy; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> , ✓ <br /> ��LC��L�C� x.0125 $ ��f'<<�� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE �-� <br /> L" �� �'�' ��a x.0005 $ O�� <br /> (contract price <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERM[T FEE(Add Lines 1-3 Above) $ � <br /> ■ * 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, ]abor 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 /> � ������ �� �� ,E ��.a.. � y 9 <br /> a� ...� �F'ERIV�IT q� A,('.�REE � G ������'.��x, � <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 /> Applicant's Signature: ��� Date: �C � � <br /> Reset Form ' <br /> 3 <br />