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/ <br /> 1 <br /> PERMIT FEE CALCULA .ION(S) <br /> BASED OFF - 2002 STAT STATUE �I <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that rraeets ll three of the following requirements: <br /> 1. Does not require modificarion to electrical or gas s rvice. <br /> 2. Has a tota] cost of$500.00 or less; excludin�the c st of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeown r or licensed contractor. <br /> Skip next section, if this applies; Cost of Pe 't $ 1�.00 <br /> State Surc arge $ 5.00 <br /> Mail-In Fe (If Applicable) $ 2.00 <br /> Total Per it Fee � <br /> �- PERMIT FEE CALCULATION(S) —T BS OVER $500.00 ,j <br /> If above does not apply;follo�� ffuidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �� <br /> �x.0125 $ <br /> (contr tpr�ce) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (contract p ice) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applic tio�s) $ 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 including materials, labor,profit, and other xed costs. It is the an�ount to be charged <br /> to the customer for the wark done. If any material, equipm nt, 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 /> esrimated cost or contract price for permit fee purposes. I the event that there is a dispute on the <br /> amount of the job cost, the City may request the submissio of a signed copy of the actual contract. <br /> <`' MECHANICAL;PERIVIIT APP�,TCAT ON AGREEMENT ���,������''';�,;�; <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 ordinances of the Cit and the regulations of the State of <br /> Minnesota, and certifies that all statements made on thi application are complete, true and <br /> correct. T ,/ �� <br /> ''"��j,�'" !�.;. <br /> �,;... �.-; � <br /> � � ,' _ <br /> Applicant's Signature:����� -<����,� �� Date: � �� �� �� <br /> /�� �,� <br /> l i <br /> 3 i <br />