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. , <br /> PERMIT FEE CALCULATION(S) <br /> / <br /> 2002 State Statute ,� Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that eets all three of the following requirements: <br /> 1) Does not require modification to electrical r gas service. <br /> 2) Has a total cost of$500.00 or less; excludi the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the h meowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimum Fe of $35.00 <br /> � � �� ;�� ���x .0125 $ <br /> � (contract rice) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the St�te Building Code Divis on a Minimum Fee of($ .50) <br /> x .0005 $ <br /> (contrac price) (minimum$.50) <br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dol ar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs.It is the amount to be char ed to the customer for the work done.If any material, ` <br /> equipment,labor,or installation is furnished by the owner,tenant or an other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee pu oses. In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of th actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,0 0,000 or$.50-whichever is greater.For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanica Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State B ilding Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> � � /� � <br /> Applicant's Signature: �Yf1-�--.� C-� . � Date: �" �� <br /> Approved By: Date: <br /> 3 <br />