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� , � <br /> > � <br /> � ' <br /> �� ` � '� ���PERMIT FEE CALCULATION(S) �� ' � � ����� <br /> ; � ,, = �_ .���. �� <br /> ' ' � � BASED OFF - 2002 STATE STATUE <br /> , <br /> ��-�. � ��,��� � � <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or appliance that nieets all three of the following reyuireir�c,nts: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cosY of$500.00 or less;exclt�ding the cost of Uie tixture ar appliance: ar�c°• <br /> 3. Is improved, installed or replaced by tlie ttomeowner or licensed contrac;i.o��. <br /> Skip uext section, if this applies; Cost of Perinit �___ a`' ���� <br /> State Surcharge `� __ _ •��� <br /> Mail-Li Fee(It A�plicable) $ __ ._ '_`��� <br /> Total Per►nit I'ee �,__ <br /> 'PERMIT FE� CALCULATION(S) ,-JOBS OUER$500.00 __ _ � <br /> , <br /> If above does not apply; follow guidelines below: <br /> ]. CONTRACT PRICE * is 1.25%of conhact price with a(n�linimu►n Fee af$35.0� <br /> � � <br /> �dc o� <br /> __. __ __._ <br /> /�, x .oi2s � _ __ _ - - <br /> (contrac[pricc) (minirnurn a�t;Ilf)1 <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Si�rcharge(A�inimu��i�'re uf 5��50) <br /> J� � / <br /> � �� x .00OS $ � _--- <br /> (conlract price) -- (minin'iun�`'t; `;11 j <br /> 3. POSTAGF,&I�ANDLING(Only on Mail-In Applications) `h � -`��� <br /> � <br /> 4. TOTAL PERMI'T FEE(Add Lines 1-3 Above) g____ __�� �---------- <br /> ■ * CONTRAC"T PRICE or JOB COST means the actual or estimated dollar amount char�;ec1 i�or the <br /> permitted work iuch�ding materials, labor,profit, and other fixe�d costs. It is the amount to b�� ciiar�;etl <br /> to the customer for the work done. If any material, equipment, labor or installations a�c ('i�rnished by <br /> the owner, tenant or any other party, the reasonable market value of such items nnisl:t�c �itded to llic <br /> estiinated cost or contract price for permit fee pluposes. in the r,vcnt thal. thcre is ��+ rlis4�tite on tl�e <br /> flRii3l11'ii Of ti1C JOb COSi, ti10 Clt� I�i3y T0C(U85t t�10 SLI�J11llSS1C1: ^F�l S1d�1e-� :�`-�1�>3 `?f ��lF' :?':'�i'.-t� C�7't!C�iC!:. <br /> ■ ** 'Tl�e STATE SURCHARGE is .0005 of the Building Departmcnt at(952)249-4600 tor t�,�;��ricc. <br /> --- --- ---- --- . _ <br /> , <br /> �- MECHANICAL PERIVIIT APPLICATION AGR�EMENT__ ; <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agre�•�, to do all <br /> work in strict accordance �vith the ordinances of the City ane3 thc re�;ulations of I(�t: St:atc c>f� <br /> Minnesota, and certifies that all stateme�lts made on this �pplicatioa�� are con�pls��r, ic�.ie ar��_i <br /> correct. <br /> Ap�licant's Signature: L�`���`'� <br /> ��! O� <br /> 3 <br />