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Q ' <br /> • ' PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Resideutial fixture or appliance that ineets all ttu�ee of the followiilg requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; eYcludin�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 $ .50 <br /> Mail-In Fee(If Applicable) $ 1.�0 <br /> � Total Permit Fee � $ <br /> PERMIT FEE CALCULATION(S) —JOBS OVER$500,00 � <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is L25% of conh�act price with a(Minimum Fee of$35.00) <br /> ' . � � 1Gll�,�� x.0125 $ <br /> (contract price) (minimum$35.00) <br /> _ Z._.STATE SLTRCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERI�IIT 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 tl.e custemer for the work done. If any n:aterial, equipment, labor or ins±allatioi�s are fiarnished 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 conhact price for pernut fee puiposes. In the event that there is a dispute on the <br /> amount of the job cost, the City niay request the submission of a signed copy of the actual conh�act. <br /> ■ ** The STATE SURCHARGE is .000� of the Building Department at(952)249-460� for the price. <br /> MECHArtICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all <br /> worlc in strict accordance with the ordinances of the City and the regulations of the State of <br /> i�linnesota, and certifies that all statements madc ar, this ap�;ication ure cci.�plete, true and <br /> correct. <br /> , .�—% <br /> Applicant's Signature: C��-�.��, '��� Date: � <br /> 3 <br />