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. <br /> PERMIT FEE CALCULA7'ION(S) <br /> �� �BASED OFF — 2002 STATE STAT�UE �� � � � �� � <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or a�pliance that meets all three 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; excludin�the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee � <br /> PERMIT FEE CALCULATI(1N(S)—JOBS OVER �500.00 , <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> o���`l y � X.o�2s� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE ^�� � II , <br /> J� x .0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <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 pernut fee purposes. 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 contract. <br /> �;��.���,��� MECHA�TTt��°�'��a ,���� �� "� ' r '��� ��. <br /> �,.. <br /> The undersigned hereby applies to the Ci issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the or � es of the City and the regulations of the State of <br /> Minnesota, and certifies that all st `e ts made_pn this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: <br /> 3 <br />