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i <br /> PERMIT FEE CALCU ATION(S) <br /> BASED OFF - 2002 ST E STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or a�pliance that me ts all three of the following requirements: <br /> 1. Does not require modification to electrical or g service. <br /> 2. Has a total cost of$500.00 or less;excluding th cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeo er or licensed contractor. <br /> Skip next section, if this applies; Cost ot Permit $ 15.00 <br /> State S rcharge $ 1.00 <br /> Mail-I Fee(If Applicable) $ 2.00 <br /> Total ermit Fee $ <br /> PERMIT FEE CALCULATION S JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract p ice with a(Minimum Fee of$50.00) <br /> X .o�zs $ 115� <br /> con ract pri ) (minimum$50.00) <br /> 2. STATE SURCHARGE q � <br /> � X .000s $ y.le0 <br /> (contr ct pri e) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Ap lications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '�1 •�Qb <br /> ■ * CONTRACT PRICE or JOB COST means the actu or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and ot er fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equ pment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable ma ket value of such items must be added to the <br /> estimated cost or contract price for permit fee purpose . In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submi sion of a signed copy of the actual contract. <br /> MECHAMCAL PERMIT APP�,IC TION AGREEMENT <br /> The undersigned hereby applies to the City for issuanc of a Mechanical Permit, 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 /> correct. <br /> . <br /> Applicant's Signatur : Date: �'�� ` �S <br /> 3 <br />