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� � <br /> 4 <br /> � Y <br /> s <br /> ♦ <br /> • <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ 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; excludin�the cost of the fixture or appliance: ; <br /> and ' <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. � <br /> 9 <br /> Skip next section; Cost of Permit $ 15.00 � <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 " <br /> � <br /> If above does not apply, follow guidelines below: ? <br /> s <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) j <br /> a <br /> ,� . ,� .� �� �` - ' <br /> :-%L- x .0125 $ :� ��,._ � <br /> a <br /> (contr ct price) (minimum$35.00) � <br /> r <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .501 � <br /> � <br /> ��c�\-'L.l_;� x .0005 $ � •�;�� 3 <br /> (contract price) (minimum$.50) � <br /> a <br /> s <br /> 3. Posta�e and Handlin� (Oi:ly niai[-i�z applications) $ 1.50 � <br /> r <br /> E <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ :�� � � � ``"' 4 <br /> , <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including � <br /> materials,labor,prof t,ard odler fixed costs.It is thz amount to be charged to ine customer for the work done. If any material, � <br /> equipment,labor,or installation is furnished by the owner,tenant 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 the submission of a signed copy of the actual contract. ; <br /> � <br /> **The STATE SURCHARGE is.0005 of the contract price under�1,000,000 or$.50-whichever is greater.For valuations over i <br /> S 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 Permit,agrees to do all work in strict accordance with � <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> . \ �� � � � <br /> �: I <br /> i � <br /> � Applicant's Signature: � % I` ``-l'`-�.� Date: L����f `��� <br /> � <br /> ; � <br /> � Approved By: Date: � <br /> 5 � <br /> 3 � <br /> p <br /> � <br /> � <br />