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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 three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a tota] cost of$500.00 or]ess; 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 Permit $ I 5.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) � 2.00 <br /> Total Permit Fee � <br /> PERMIT FEE CALCULATION(S)-JOBS OVER $500.00 <br /> If above does�1ot apply; follow guidetines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> -l C�,S!O, � x .0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> 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 ar JOB COST means the actual or estimated dollar amount charged far the <br /> permitted 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 permit fee purposes. ln the event that there is a dispute on the <br /> amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract. <br /> MECHANICAL PERMITAPPLICATTON AGREEMENT <br /> The undersigned hereby applies to the Ci f issuance of a Mechanical Permit, aarees to do all <br /> work in strict accordance with the or n � s of the City and the regulations of the State of <br /> Minnesota, and certifies that all st e e ts. made on this application are complete, true and <br /> correct. i� - <br /> Applicant's Signature: Date: �� ��I ��C <br /> 3 <br />