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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 appliance that meets all three of the following requiremenis: <br /> I. Does not require modification to electrical or gas service. <br /> ? Has a total cost of$500.00 or less;excludin�tl�e cost of the fixture or appliai�ce: and <br /> 3. Is improved. installed or replaced by the homeowner or licensed contractor. <br /> Skip ne�t section, if this applies; Cost of Permit S I�.00 <br /> State Surcharge $ �.00 <br /> Mail-In Fee(IfApplicable) $ �.00 <br /> Total Permit Fee � <br /> �_ PERMIT FEE CALCU�LATION�S}-JpBS OVER $500.00 --� <br /> If above does not apply; fo(low�uidelines below: <br /> L CONTRACT PRICE * is 1.25°%of contract price with a(Minimum Fee of 5.50.00) <br /> 17J�. ��� �; .o��s � ---��_� � � <br /> (con[ract price) (minimum SS0.011) <br /> '_. STA'CE SURCHARGE � �� �, '��j �j <br /> — �----x .0005 $ _V.� �/_ — <br /> (contract pricc) <br /> 3. POST.AGE 8� HANDLING(Only on Mail-ln Applications) $ �.p0 <br /> 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ � �'��i . <br /> ' * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fised 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 fui7�ished b� <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 permit fee purposes. In the event that there is a dispute on thc <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> �� � � MECHANICAL�PERMIT APPLICATION AGRE_EMENT —� <br /> The undersigned hereby applies to the City for issuance of a Mechanicai Permit. a��rees to do all <br /> �vork in strict accordance with the ordinances of the City and the regulations of� the State of� <br /> Minnesota, and certities that all statements made on this appiication are complete, true and <br /> correct. <br /> � � <br /> � <br /> Applicant's Signature: Date: � ��i- <br /> -- ---' �/�L � --------- ---–� - — <br /> Reset Form <br /> , <br /> J <br />