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,� , <br /> �� PERMIT FEE CALCULATION{S) � <br /> BASED(JFF -2002 STATE STATUE ' <br /> ❑ Yes,this section applies <br /> The replacement of a Residential 6xture 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 next 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 /> � PERMTT��E C:�LCL7LATIt71V(S)-JOBS aVER$SOQ.€?4 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTItACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> '`�i��� x.0125$ <br /> (contractprice) (minimum$50.00) <br /> 2. S'�ATE SURCHARGF. <br /> 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) $ <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged far 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 parry, the reasonable market value of such items must be added to tkie <br /> esCiinated 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 /> MECHANICAL PERMIT APPT,,ICATI(7N A+�REEMENT <br /> ` <br /> The undersigned hereby applies to e City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accorda yvith t e or�inances of the City and the regulations of the State of <br /> Minnesota, and cert' ies tha al state� ents made on this application are complete, true and <br /> correct. <br /> Applicant's Signat re: Date: � � <br /> 3 <br />