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. � <br /> _ --- - - � <br /> _ . �,��,����"' <br /> �'ER1t7I'I' �'EE �ALCUL4TION(S) ��:,� <br /> 20(32 S�at� Statut� ❑ �'es This Section Appiies <br /> The replacen�ient af a Residential fixture or a�pliance that meets aIl three of the foIlowing requirements: <br /> ]) Does not require modification to elech-ical or gas service. <br /> 2) Has a total cost of$500.00 or less; excludi�the cost of the fixture or appliance: <br /> and <br /> �) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Slcip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.�0 <br /> If above does not apply, follow guideIines belo�v: <br /> 1. iCoai�ra�t I'ri�eY is .0125°ro of job with a idFinimum I+ee of(��5.00) <br /> %l ao,�� X .ol2s � -�;.� <br /> (contract price) (minimum�35.00) <br /> 2. State Surchai•�e. ** A.dd the State Building Cade Division a Minamu�n Fee of(�; .50) <br /> �l�-� X .000s $ �sy— <br /> (contracC price) (nunirrwm$ .50) <br /> 3. �'osta�e and 1�Iandlin� (C�rtdy rnail-iri appliccatio�rs� � `� <br /> 4. 'TOT'AL �I;F2i�1IT �E� (Add lines 1-3 above) � ���; <br /> *CONTIZACT PRICF.,or JOB COST means the actual or estimated dollar amount charged for t'r,e permitted work includin� <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment, labor,or installation is furnished by the owner,tcnant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> the job cost,the City may request tne submission of a si�ned copy of the actual contract. <br /> **The STATE SURCFfARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over <br /> �1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pem�it,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the�14innesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Applicant's Signature: Date: D �3'- <br /> Approved By: � Date: <br /> 3 � <br />