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PL1�?�IIT FEE CALCUL��TION(S) � <br /> BASED OFF - 2002 STA'1"1� STATUE �� <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; excludin�the cost of the fixture oi�appliance: 1nd <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ I5.00 <br /> State Surcharge $_ 50 <br /> Mail-In Fee(If�Applicable) $ I.SO <br /> Total Permit Fee � <br /> ' PERMIT FEE CALCULATION S -JOBS OVER-$500.00 <br /> If above does not apply;follow guidelines belo�v: <br /> 1. CONTRAC'I'PRICF * is 1.25%of contract price with a(Minimum Fee of$35A0) <br /> �(2�• � x .0125 $_ � ?• $$ <br /> (contract price) (minimum$35-00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Rec ut�.50) <br /> GZ 3D•d'° � .000s $ 3 • 12. __ <br /> (contract price) (mu�imum� SO) <br /> 3. POS"i'AGE&HANDLING(Only on Mail-In Applications) $ 1•5� <br /> �l � <br /> 4. TOTAL PERMIT FEG(Add Lines 1-3 Above) � � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. lt is the amount to be charged <br /> to the customer for the worh 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 m�ist be added to the <br /> estimated cost or contract price for permit 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 signed copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> M�CHAI�tICAL PERMIT APPLICATTON`AGR��M�NT <br /> The undersi�»ed hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance �vith the ordinances of the City and the re�ulations of the State of <br /> Minnesota, and certifies that all statements made on this application are com�lete, true and <br /> correct. <br /> Applicant's Signature: ��l�''��� Date: ���� <br /> ; <br /> Reset Form <br /> 3 <br />