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�, PERIVIIT FEE CALCULATION(S) <br /> � BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixtw�e or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or�as 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 secrion, if this 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 S500.00 <br /> If above does not apply; follo��guidelines belo���: <br /> 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$50.00) <br /> ��(�i� x .0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> x .0005 $ <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE &HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE ar JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work includin�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 ar any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for pemut fee puiposes. In the event that there is a dispute on the <br /> amount of the job cost, the Ciry may request the submission of a signed copy of the actual cont�-act. <br /> ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�nees 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 /> Applicant's Signature: W �J Date: �� ( I l 1 l <br /> 3 <br />