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� ���T k�L CALCU A ON S <br /> 2002 State Statute Yes�'his Section Applies <br /> The replacement of a Resi etttial fixture or appliat�ce that meets aIl threc of the following requirements: <br /> 1) Does z�ot z'equire modi�cation to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less;excludin¢the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licenscd contrsctor. - <br /> Skip next section; Cost of Permit $ ;� 15.00 <br /> Statc Surcharge$ i` .50 <br /> Mail-In�ee $r 1.50 <br /> if abovc does not apply,fo►low guidelines below: <br /> 1. Contract Price* is .0125°/n of job with a 11�inimum_Fee of($35.00) <br /> x.0125 $ <br /> (conttatt pcice) w (minimum$35.00) <br /> 2. State Surchar�e, ** Add the State Building Code Division a MYnimum Fee o£(�.50� <br /> x .0005 $ <br /> (contract pricc) (minimum$.50) <br /> 3.Posta e and�andlin (Only mail-in applicnti�ns) � _ �.�SQ <br /> 4. 'I'OTAL PERMIT F�E (Add fines 1-3 above) $ . <br /> *CONTFtACT PRICE or JOB COST meuns the actual or estimated dollar amount chtu'ged for the pemtittcd wock including' <br /> materials,labor.proftt,and other fixed eosts.it is the amount to bc chflxged to the customcr for the wodc donc,If any material, <br /> cquipment,tabor,or installation is furnishcd by tht owtter,tenant or any other pflrty the reasonable market value of such items <br /> must be addcd to the estimatcd cost of contract pricc for permit fee purposes.In the ovent that therc is a dispute on the amount of' <br /> thc jab cost,thc City may request thc submission of a signed copy of the actual contrt�e� <br /> "•'Tiae STATE SURCHA�G�is.0005 of th�tontract price undcr$1,000,000 or$.50-whichever is greatcr.For�aluations o�cr <br /> $1,000.000 call the Department of Inspcctiooal Services for the pricc. <br /> Tho undersigned hcrcby applies to thc City foc issuance of a Mechanical Permit,agrecs to do all work in stricY accot'dflnce with <br /> thc ordinttr�ces of thc City tutd the regulations of ehe Minnesota Statc Bui{ding Code,and cettifies that:dl statcments made on this <br /> ap�lication are complete,ttu�und correct. <br /> Applicant's Signature:�CG��c�`/`��=1°f< �� _ Date: 7 �� �j <br /> �.:� �t r����� .�-�_ <br /> Approved By: Date: <br /> 3 <br /> 898-� ti00/£00'd 9Z1-1 919V6YdZ96+ ONOaO �0 l�ll�-woa� we1�:Ol £OOZ-BO-��f <br />