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. � PERMIT FEE CALCULATION(S) <br /> � BASED OFF - 2002 STATE STATUE ` j <br /> ❑ Yes, this section applies <br /> The replacen�ent of a Residential fixture or a�pliance that meets all three of tl�e following requirements: <br /> 1. Does not require n�odification to elech�ical ar 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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee (If Applicable) � 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 � <br /> If above does not apply; follow guidelines belo�v: <br /> 1. CO�TRACT PRICE * is 1.25% of contract price with a (Minimum Fee of$35.00) <br /> � � ,��,� x .0125 � <br /> T <br /> (contrac[price) (minimum�3�.00) <br /> 2. STATE Si;RCHARGE ** Add the State Bldg Code Div. Surcharge (nli�imum Fee ot�.50) <br /> x.0005 $ <br /> (contract price) (minimum 5 .50) <br /> 3. POSTAGE K HANDLING(Only on Mail-In Applications) � 1.50 <br /> 4. TOTAL PER�ZIT FEE (Add Lines 1-3 Above) $ <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 installarions are furnished by <br /> the o��mer, tenant or any other part}�, the reasonable market value of such items must be added to the <br /> • estimated cost or contract price for pernut 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 /> • ** The STATE SURCHARGE is .0005 of the Building Department at(9S2) 249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pernzit, 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 /> cot-rect. <br /> ! s <br /> Applicant's Signatur_e,:-'�').,ti,�g,� __ _ Date: ��1�,,�D� <br /> 3 <br />