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� ,wY <br /> PERM4T I;EE CALCULA,T�ON(S) <br /> 2002 State Stata�te Yes This Section Applies � <br /> The replacement of a Residential fixture or appliance that meets all three of the following <br /> 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: <br /> and <br /> 3) Is improved, installed ar replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Pennit $ 15.00 <br /> ' State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Can��-act Price* is .O125% of job with a Minimum Fee of($35.00) <br /> ��C�� �.ol2s � S`?• �- <br /> (contract price) (minimum$35.00) <br /> 2. S�ate Se�rcd�arge. ** Add the State Building Code Division a Minimum Fee of(� .50) <br /> �p ��D. �i�x .0005 S _�� � ° <br /> (contract price) (minimum$.50) <br /> 3. Posta�e and Hlandlin� (Only mail-in applicatio�zs) $ 1.50 <br /> 4. T'O"1'.9�L PERMI'C FEE (Add lines 1-3 above) $ �' <br /> 7 v <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pem�itted work � <br /> including materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work <br /> done. lf any material,equipment,laUor,or installation is furnished by the owner,tenant or any other party the <br /> reasonable market value of such items must be added to the estimated cost or contract price for pennit fee purposes. In <br /> the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of <br /> the actual contract. <br /> **T6e STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For <br /> valuations over�I,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all work in strict <br /> accordance with the ordinances�and t re= ons qf the Minnesota State Building Code,and certifies that <br /> all statements made on this applicati are c �1 , rue an ct. <br /> Applicant's Signature: �� Date: 7 � �� <br /> Appro��ed By: Date: <br /> Re�et Forrr� <br />