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PER.ivIIT FEE CALCULAT'ION{S) <br /> ' B ASED OFF - 2002 STATE STATUE <br /> ❑ Yes,zl�is section applies <br /> The re�lacernent of a Residential fixture or appliauce d�at meets all three of the fallowine requiremznts: <br /> i. Does not require madifcarion to electrical or gas service. ' <br /> 2 Has a total cost of S�OO.OQ or lcss; excluain�the cost of the fixhtre or appliance: and <br /> >> Is improved,installed or repla:.ed by the homeo��ner or licensed contractor. <br /> Skip neat sectioi�,if tl;is applies, Cost of Permit $ 1�.00 <br /> State 5urcl�arge � .�0 <br /> �Iail-Iu Fee(If Applicable) S 1.50 <br /> Tatai Pernut Fee � <br /> � PERNITT FEE GALCTuZ�TION(S)—JOBS OVER $SO�.00r <br /> If above does not apply;foliow guidelines belo�v: ` <br /> l. CONTR�CT�'RIGE '�is 1.25%of�ontract pnce�i�ith a(iVlinimum Fee�f S3�.00) <br /> �C� (��'� � x.ol?�� �5��,S�L <br /> (eon act price) (m'rnimum S3�.U�0} <br /> 2: STATE SURCHARGE **Add the State Bldg Cade Div. Surcl�ar�e{:�Iinimum Fee of S.�O) <br /> ��,p ,� <br /> '�..000� � 3��. 3`I' <br /> {Co fract ance) (minimum S .�0) <br /> �; POSTAGE&HANDLIIvG(Only on i�iail-In Applications) ` S 1.�0 <br /> 4. TOT�I.PER�IIIT FEE(Add Lines 1-3 Above) S ��� -3�� <br /> @ * COI�TTR.ACT PRICE or JOB COST mzans the actnal or zstimated dollar amount chareed for the <br /> pennitted .;�ork including material�,labor.profit, and othzr fixed costs. It is the amount to be charged <br /> to the customer for the �i�ork done. If au3�material, equipment, tabor or installatio�is are furitished bZ� <br /> the o«7�er, tenant or any other party, the reasonable market <<alue of such items mtist be added#o the <br /> estimated cost or contract price for pernut fee purposes. In the event thai there is a dispute on the <br /> amouut of the job cost, the Cit;� may request the subnussion oi a signed copy of:h� actual conzract. <br /> � a �`*The STaTE SIJRCHAIZGE is .000�of the Btzilding Deparrillent at(9�?j?=�9-�?6�J0 for the�rice. <br /> ; MECHANZCAL PER.�+VIIT APPLICATION AGREE�IE�' <br /> Tlie undersi;nzd hereby applies to the City for issuance of a �jiechanical Pennit; agrees to do all <br /> t��ark in stricf accordance �vith the ordinances of the Cit�- an3 thz reQulatior_ of tl�e State of <br /> Minnesofa, and certifies that all statements made on this applicatia�l are complete, true and <br /> ccirrect. ' <br /> � � � <br /> � <br /> Applicant's Signature: � Date: ���`�� <br /> 3 ` <br />