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r <br /> ' 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 tlu�ee 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; excludina the cost of the fixture or appliance: and <br /> � 3. Is improved, installed or replaced by the homeowner or licensed connactor. <br /> Skip next section, if this applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br />� Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee � <br /> PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 � <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of conh-act price with a(Minimum Fee of$35.00) <br /> . �M �) J <br /> '�lC�� X .�1?5 $ <br /> � <br /> (con[ract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> : x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TQTAL PEIt1�1IT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> peinutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the custon:er fer the work dor.e. If an� n:aterial, equipment, ?abor or installations are fl.zrnished 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 conh�act price for pernut fee puiposes. 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 cont�•act. <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-46UU for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all <br /> worlc in strict accordance with the ordinances of the City and the regulations of the State of <br /> i�linnzsota, and Ceiilile5 that all statements rr�adc on this applicatian are cc�n�lete, true and <br /> correct. <br /> Applicant's Signature: Date: J ` ��_ v� <br /> 3 <br />