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�ER11�II'g' F�� C'ALCULATIOti(S) <br /> 2002 Sgag� Statute ❑ I'es 'I'his Section A�pIies <br /> The reptacement af a Residential fixture or appliance that meets aIl three of the foIlowing requir�ments: <br /> 1) Does not require modification to eleetrical or gas service. <br /> 2) Has a total cost of$�00.00 or less; excludina the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 1�.00 <br /> State Surcharge $ .�0 <br /> Nail-In Fee $ 1.50 <br /> If above does not apply, follow ouidelines below�: <br /> 1. Cc�n�a act Pcie�* �s .012�% of jo'o with a:l�:namum Fee o�(�35.00) <br /> I G Q�� . � �� x .o12s � ��j � ��� <br /> (contract price) (minimum�35.00) <br /> 2. Sta�e Surchar�e. ** Add the State Buildin�Code Division a:�tinimum �ee of($ .50) <br /> x .0005 $ � c�'� <br /> (ccn'ract price) (minimum� .�0) <br /> 3. Postaae and �Iandlin� (Ortdy nzai!-irt applicatio�zs) $ 1 <br /> 4. �'OT'AL P���1I�' ��� (Add lines 1-3 above) � �� ,� <br /> *CONTRACT PRICE or JOB COST mean;the actual or estimated dollar ar,lount charged for the permitted work includin� <br /> materials,labor,nrofit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment, labor,or installation is furnisned by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission oi a signed copy of the actual contract. <br /> **The STATE SURCHARGE is.000�of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over <br /> �1,000,000 call the Department of Inspectional Services for the price. <br /> The undersiQned hereby applies to the Ciry for issuance of a�techanical Pennit,agrees to do ail work in strict accordance with <br /> the ordinances of the City and the regulations of the�finnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Applicant's Signatur : Date: � <br /> , <br /> Approved By: Date: <br /> 3 <br />