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PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> �Yes,this section applies <br /> The replacement of a Residential fixture or anpliance that meets all three of the followina requirements: <br /> l. Does not require modification to electrical or gas service. <br /> ?. Has a total cost of��00.00 or less; excludine the cost of the fiYture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> � ����� (1_�j ���`,��,, ��� State SurcharQe $ �.00 <br /> � ��p lCx�- <br /> �� � J � Mail-In Fee(If Applicable) � �— -_.OD�— t <br /> - Total Permit Fee �� � ' :� CY'�` <br /> �'��-� �;r�t �L, �a ���=,� �{-�� . �_ �- �� � � <br /> �PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 <br /> [f above does not apply; follow suidelines belo��•: <br /> 1. C�NTR4CT PRICE * is 1.2�%of contract price with a(n�iinirnum Fee of��0.00) <br /> x.0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SL�RCHAR�GE �* Add the State Bld�Code Div. Surchar�e(.vlinimum Fe:of�5.00) <br /> x.000� $ <br /> (contract price) (minimum$�00) � <br /> 3. POSTAGE&HANDLING (Only on Nlail-In Applications) $ 3.00 <br /> 4. TOTAL PERNIIT FEE(AddLines 1-� Above) � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted work includin�materials, labor, profit, and other fiYed costs. It is the amount to be char�ed <br /> to the customer for the work done. If any material, equipment, 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 /> estimated cost or contract price for perniit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a si�ned copy of the actual cor.tract. <br /> ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of�5.00. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, a�rees 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 Si�nature: ��2.-�YL� ���1� Date: �'�� �� <br /> O <br /> � <br /> Reset Form "� ^ <br /> � <br />