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PERMIT FEE CALC ATI�N(S) BASED OFF - 2002 ST TE STATUE �� Yes, this section applies The replacement of a Residential fixture or ap�liance that m ets all three of the following requirements: 1. Does not require modification to electrical or g s service. 2. Has a total cost of$500.00 or less; excludin�t e cost of the fixture or appliance: and 3. Is improved, installed or replaced by the home wner or licensed contractor. Skip next section,if this applies; Cost o Permit $ 15.00 State S rcharge $ 5.00 Mail-I Fee (If Applicable) $ 2.00 Total ermit Fee $ PERMIT-FEE CALCULATION(S) 70BS OVER�500.00 ' If above does not apply; follow guidelines belo��: 1. CONTRACT PRTCE *is 1.25%of contract p 'ce with a(Minimum Fee of$50.00) e�O x.0125 $ (contract pric (minimum$50.00) 2. STATE SURCHARGE x.0005 $ (contract price 3. POSTAGE&HANDLING(Only on Mail-In App 'cations) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ■ * CONTRACT PRICE or JOB COST means the actual r estimated dollar amount charged for the permitted work including materials, labor, profit, and othe fixed costs. It is the amount to be charged to the customer for the work done. If any material, equip ent, labor or installations are furnished by the owner, tenant or any other party, the reasonable mark t value of such items must be added to the estimated cost or contract price for permit fee puiposes. In the event that there is a dispute on the amount of the job cost, the City may request the submiss� n of a signed copy of the actual contract. �I ��,.�: ` MECHANICAL PERMIT APPLICA ION AGREEMENT �� The undersigned hereby applies to the City for issuance o a Mechanical Permit, agrees to do all work in strict accordance with the ardinances of the Ci and the regulations of the State of Minnesota, and certifies that all statements made o� th s application are complete, true and correct. � Applicant's Signature� � Date: �� c��j ^ � � 3