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' � PERMIT FEE CALCULATION(S) � <br /> j _ BASED OFF — 2002 STATE STATLTE � <br /> ❑ Yes, this secrion applies <br /> The replacement of a Residential fixture or ap lip ance 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 Pernut $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> :� ���;�. ; � . � :P;ERMIT FEE CALCULATION(S) —JOBS OVER $500.00 ' <br /> If above does not apply; follo��guidelines below: <br /> 1. CONTRACT PRICE * is L25%of contract price with a(Minimum Fee of$50.00) <br /> �� �`� xA125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <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 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 owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost ar 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 actuai contract. <br /> :� �`°��,.r.3 °��€'�+T�,�"�', "��� _�PL`IC> ��r�� � � ' E��a���';, ����a 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 ardinances 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 /> � <br /> Applicant's Signature: `�`'� Date: l/J� �/ <br /> 3 <br />