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� � PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2UO2 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacemei7t of a Residential fiature or appliance that meets all tln�ee of the following requirements: <br /> 1. Does not require modification to electrical ar gas service. <br /> 2. Has a total cost of�500.00 or less; e�cludin�the cost of the fixnire or appliance: and <br /> 3. Is improved, installed or replaced by the homeo���ner or licensed conn-actor. <br /> Skip next section,if tlus applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee (If Applicable) � 2.00 <br /> Total Permit Fee $ <br /> � PERMIT FEE CALCULATION(S) —JOBS OVER ��OO.OU � <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$�0.00) <br /> , �� <br /> (^., ,a�00 c� x .0125 $ ��- L <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge (Minimum Fee of�5.00) <br /> O�— <br /> X .0005 $ `�j— <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE &HANDLII�TG(Oniy on Mail-In Applications) � 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ G� �D <br /> a� <br /> ■ * COI�rTRACT PRICE or JOB COST means the actual or estimated dollar amomlt charged for the <br /> pernutted 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 o��ler, tenant or any oflier party, the reasonable market value of such items must be added to the <br /> ' estiinated cost or contract price for pernut fee purposes. In the event that there is a dispute on the <br /> ainount cf the ioo cosi, ihe City may request the subnussion of a signed copy of tile actual conu-act. <br /> ■ ** The STATE SURCHARGE is .0005 times the Conn�act Price or a minimum of��.00. <br /> MECHANICAL PERMIT APPLICATION AGREEMEI�?T � <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 Qn this application are complete, true and <br /> con�ect. <br /> , - �- ���� ,�7 <br /> Appl�cant s Signature: ������ Date: �6�• /��� <br /> 3 <br />