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PERMIT FEE CALCU ATION(S) BASED OFF -2002 STA E STATUE ❑ Yes,this section applies The replacement of a Residential fixture or appliance that me ts all three of the following requirements: 1. Does not require modification to electrical or ga service. 2. Has a total cost of$500.00 or less;excludin�th cost of the fixture or appliance: and 3. Is improved, installed or replaced by the homeo ner or licensed contractor. Skip next section, if this applies; Cost of ermit $ 15.00 State S charge $ 5.00 Mail-[n ee(If Applicable) $ 2.00 Total P rmit Fee $ PERMIT FEE CALCULATIOIV S JOBS OVER$500.00 ff above does not apply;follow guidelines below: 1. CONTRACT PRICE * is 1.25%of contract pr ce with a(Minimum Fee of$50.00) 17000 X .o�2s $ 212.50 (contract pricc (minimum 550.00) 2. STATE SURCHARGE �7000 H.�JO x.0005 $ (con[ract pric 3. POSTAGE&HANDLING(Only on Mail-[n App ications) $ 2.00 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $223.00 ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, anc� oth r fixed costs. [t is the amount to be charged to the customer for the work done. If any material, equi ment, labor or installations are furnished by the owner, tenant or any other party, the reasonable mar et value of such items must be added to the estimated cost or contract price for permit fee purposes. [n the event that there is a dispute on the amount of the job cost, the City may request the submis ion of a signed copy of the actual contract. MECHANICAL PERMIT APPLIC TION AGREEMENT The undersigned hereby applies to the City for issuance f a Mechanical Permit, agrees to do all work ii� strict accordance with the ordinances of the ity and the regulations of the State of Minnesota, and certifies that all statements made on his application are complete, true and correct. Applicant's Signature: ' Date: � � , �