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- � �. <br /> �� �� �� PERMIT FEE CALCULATION(S) �� ��� <br /> �� BASED OFF — 2002 STA'1,E�STA"CUE � � <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,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PE�TT�'EE CA�;�"� ���1(��-=,�(3?��. ."�F�. _ �3�4� � � _ � - ' <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contra�ct price with a(Minimum Fee of$35.00) <br /> .1 <br /> �S<<1�� X.�125 $ G�, �� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x.0005 $ � `�� `-� <br /> (contract price) (minimum$ .5 <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �v' � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated lar amount ch or the <br /> permitted work including materials, labor, profit, and other fixed costs. It is ount 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. 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 /> ■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> "`� ME��NT�AL PERMIT APPLICATION AGREEMENT . .aN:': ., ."��'� �4 <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in 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: �✓�� Date: ��, I�� <br /> � a�� <br /> � � �' <br /> Reset Form „ <br /> ., , . , 3 <br />