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, . � <br /> . <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or tess;excluding the cost of the fi�cture or appliance: <br /> and <br /> 3) Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply,follow guidelines below: <br /> 1. Contract Price* is .O125%of job with a Minimum Fee of($35.00) �-� <br /> �����1,��C.' —L�..� <br /> � X.oi2s $ ��� <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. *z Add the State Building Code Division a Minimum Fee of($.50) <br /> ��-i� �, X .00a5 $ - �1 � <br /> (contract price) (minimum S.30) <br /> 3. PostaQe and HandlinQ(Only mail-in applicatinns) $ l.50 �0 <br /> \ �I�� � � <br /> 4. TOTAL PERMIT FEE(Add lines 1-3 above) $ �� Zv �j � l�-� <br /> � � : <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for Uie pemiitted work � ' <br /> including materials,labor,profit,and other fuced costs.It is tl�amount to be charged to the customer for ll�e work <br /> done.If any material,equipment,labor,or installation is furnished by the owner,tenant or any other party the <br /> reasonable iriadcet value of such items must be added tn the eslimated cost or contract price for pennit fee pu�poses.In <br /> the event that there is a dispute on the amount of the job cost,Uie City may request U�e submission of a signed copy of <br /> the actual conUact. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,0(�or$.50-wliichever is greater.For <br /> valuations over S 1,000,000 cail the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Meclutnical Pennit,agrees to do all work in strict <br /> accocdance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that <br /> all statements made on this appli tion are complete,tnae and correct. <br /> � �_� _ Z�--�� <br /> Applicant's SignaYure: � Date: <br /> Approved By: Date: <br /> Reset Form <br />