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� PERMIT FF,E CALCULAT[ON(S) ��� <br /> BASED OFF - 2002 STATE S�'A"I�UE � � � <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludine the cost of the fiixture 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 /> State Surch�rge $ .50 <br /> Mail-In Fee(If Applicable) $ L50 <br /> Total Permit Fee $ <br /> P�RMfT FEE CALCULATION(S)-JOBS OVER $500.00 '��� � <br /> If above does not apply;foliow guidelines below: <br /> 1. CONTRACT PRICE � is 1.25%of contract price with a(Minimum F e of$3 .00' _ �. <br /> c� <br /> ���� � z .0125 $ � / '� . <br /> ' (�ontrlct pri�c) (mmimum$35.00) <br /> � 2. STATE SURCHARGE ** Ad he State Blde C�de Div. Surcharge(Minimum I�ee of�.SO) <br /> � I� � �� �� <br /> �_� .000s $ � <br /> (contract pnce)' (minimum. .50) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50 <br /> h � <br /> 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $_ � �� <br /> ■ * CONTRACT PRICE or JOB COST means tl�e actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are funlished by <br /> the owner, tenant or any other party, the reasonable market value of sucl� items must be added to the <br /> estimated cost or coiltract price for permit fee purposes. In the event that there is a dispute on the <br /> amow�t of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ '�* The STATE SURCHARGE is .0005 of the Quildin�r Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT nPPLICATION AGREEMENT � <br /> '['he undersigned hereby applies to the City for issuance oi�a Mechanical Perinit, agrees to do all <br /> work in strict accordance with the ordinances of the Ciry and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are coinplete, true and <br /> correct. <br /> . ^ <br /> , <br /> Applicant's Signature: Date: <br /> Sf t f�lC�sn <br /> 3 <br />