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" . . . <br /> __ _ _ ___ - -- --- <br /> ! PERMIT E t:;I CALCULATION(S) <br /> � BASED OE'F - 2002 STATT STATUE � <br /> ❑ Yes, this section applies <br /> Thc rcpiacement of a Residential (ixture or appliance that mcets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> Z. t�las a totai cost of$500.00 or less;excludi�the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homcowner or licensed contractor. <br /> Skip next scction, if this applies; Cost oCPermit $ 15.00 <br /> Statc 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 below: <br /> 1. CON"I'RAC"I'NRICE * is 1.25°/,of contract price with a(Minimum Fee of$35.00) <br /> � ��y.� � x .0125 $ � <br /> (contract pricc) minimum 35.00) <br /> 2. S�'A7'E SURCHARGF ** Add the Statc Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> �_�����--- -- x .0005 $_��� <br /> (contract pricc) (minimum$ .50) <br /> 3. POS'1�AGE & HANDLING(Only on Mail-In Applications) $_ 1.50 <br /> 4. "1'OTAL PERMI"1' FEE(Add Lines 1-3 Abovc) $�����V <br /> ■ * CON"TIZACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work incl�iding materials, labor, profit, and other fixed costs. Il is the amount lo 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 or contract price for perniit fec purposes. In the event that there is a dispute on the <br /> amount of thc job cost, the City may request the subinission of a signed copy of the actual contract. <br /> • **Thc STATE SURCf IARGE is .0005 of the F3uilding Dcpartmcnt at(952)249-4600 for the price. <br /> ------ --- -- __------ <br /> - ---- <br /> � � MECHANICAL PERMIT APPLICATION AGREEMENT � � <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in slrict accordance with thc ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on tl�is application are complete, true and <br /> correct. <br /> Applicanl's Signature: ^� � ' \ Datc: � Z.� (� <br /> � <br /> C� <br /> Reset Form <br /> 3 <br />