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, � , ; . ; : PERMIT EEE 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 total cost of$500.00 or less;excludine the cost of the fixture or appliance: and <br /> 3. Is improved, install�d or replaced by the homeowner or licensed contractor. <br /> I <br /> Skip next section, if this applies; Cost of Permit $ ]5.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee . $ <br /> �:.';.� _" 'PERMIT FEE CALCUT�ATION(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 /> � i��� .._ .�- <br /> �' � � x.01�5 $ l���; . <br /> ( �_ �, . � <br /> —(contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of 55.00) <br /> x .0005 $ � ' A <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In App(ications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines ]-3 Above) $ � � f <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. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are fumished 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. [n 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 /> ■ **The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. <br /> MECHANICAL P RMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with th� ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all stytements made on this application are complete, true and <br /> correct. <br /> I ' ' � � ,s <br /> n ( <br /> Applicant's Signature: �,��, �,'� ���,� l �;"� Date: � ��' � ` 1� <br /> " . , <br /> Reset Form 3 ` <br />