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I . <br /> PERMIT FEE CALCULATION(S) � <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes, this section applies <br /> Thc replacement of a Residential fiature or�liance that mcets all Chrec of thc following requirements: <br /> l. Does not reqtiire modification to elecf��al or gas service. <br /> 2. Has a total cost of$500.00 or less; exclud�r�the cost of the fixture or appliance: and <br /> 3. is improved, installed or replaced by the hoirieQwner or licensed coi�tractor. <br /> Skip next scction, if this applies; Cost of PerniTt $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-[n Fee (If Applicable) $ 2.00 <br /> 'Cotal Permit Fee $ <br /> PERMiT FEE CALCULATiON(S) -JOBS�OVER $500.00 <br /> [f above does not apply; follow guidelines below: <br /> 1. CONTRACT PRiCE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> -, 0� ��� <br /> _�,�L�l� X .o t 2 s s `.�C� <br /> (contract price) (minfmum��0.00) <br /> 2. STATF. SURCHARGF, ** Add tl�e Statc Bldg Codc Div. Surcharge (�iinimum Fee of$.50) <br /> /31 � � � <br /> � ,�.G � ,5_ <br /> �� , X .000s � t - <br /> (contract price) (mininmm� .50) <br /> 3. POSTAGE& NANDLING(Only on Mail-in Applications) � 2.00 <br /> �r �S- <br /> 4. TOTAL PERN[IT FEE (Add Lines 1-3 Above) $ —� � <br /> ■ * CONTRACT PRiCE or JOB COST means the actual or estimated dollar amount charged for the <br /> permittcd work including materials, labor, profit, and other fixed costs. Tt is d�e amount to bc charged <br /> to the customer for the work done. (f any material, equipnlent, labor or installations are furnisheci by <br /> the owner, teuant or any other party, the reasonable nlarket value of sucl� ite�us iuust be added to the <br /> estimated cost or coiltract price ior permit fee pw-poses. In the event that there is a dispute oi� the <br /> amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract. <br /> ■ ** The STAT� SURCHARGE is .0005 of the Building Department at(952) 249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT � � <br /> The under-signed her-eby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work i�l stcict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, a�ld certifies that all stateule�lts made on this application are complete, tiue and <br /> correct. <br /> 1 <br /> ld� , <br /> Applicant's Signature:--���"`�� �'� .L�`� � _ Date: � � ��� — �� <br /> 3 <br />