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. ."9��^�•�� <br /> � ':,,.K; <br /> . ' � ��� <br /> ' `_'--�-.._ .. <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <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;excludine 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 $ 15.00 <br /> State Surcharge $ 1.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION S -JOBS OVER$SOQ.00 <br /> If above does not apply; follow guidelines below: <br /> !. Cf?'.�TRACT pRICE * :s 1.?54%o:�ccntract price with a(Mlin�:::um FeQ of$50,Q0) <br /> � 0 � � � �� X .ol�s $ I �J � , i �_� <br /> (contract price) (minimum�50.00) <br /> 2. STATE SURCHARGE �nQ� �� J� 1 <br /> �l U�� • �x.0005 $ ( � �� <br /> (contract price) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � � � � i �•� <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, 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 /> MECHAN[CAL PERM[T 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 /> / � �' <br /> Applicant's Signature � �� �, �� Date: � � ' ��I ���� � �'`� <br /> (. � <br /> �� <br /> �:, 3 <br /> �;� <br /> i� <br /> , <br /> i:� <br />