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-------- ------- - <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Ycs, this scctiou applics <br /> The replacement of a Residential fixture or a�pliance that meets all tllree 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 a�plies; Cost of Permit $ 15.00 <br /> State Surcharge $ 1.00 <br /> MaiL-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � <br /> PERMIT FEE CALCULATION(S —JOBS OVER $500.00 ' <br /> ¢����,�.,�: ����� <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 /> �7�j� •(�v x .0125 $ �V•Ul� <br /> (contract pricc) (minimum�50.00) <br /> 2. STATE SURCHARGE <br /> 35UD.oc� X .000s � � .`�� <br /> (contract pricc) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �j�•��j <br /> ■ * CONTRACT PRiCE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. Tt is the atnount to be charged � <br /> to the customer for the work doi�e. if any material, equip�i�ent, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable market value of such items �nust be added to the <br /> estimated cost or contract price for permit 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 /> MECHANICAL PERMIT APPLICATI4N AGREEMENT 'x�'�` � <br /> '����������<>. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work i�i strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: �$XVv Date: ������ <br /> 3 <br />