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, PER:�IIT FEE CALCUI_A'['lUN(S) � <br /> � BASED OFF�- 2002�STATC 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;excludin�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 $ I5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Ap�licable) $ I.50 <br /> Total Permit Fee $ <br /> >; ;PER��`F;FEE CAI,GULATION S -JOBS OVER;$SOp.Op .., . ; <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> ;�5 <br /> �y5��� X.oizs � �� �` <br /> (contract price) (minimum$3�.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fce oT�.SO) <br /> � �i � J� 3� <br /> L U '� x.0005 $ � � <br /> (contract price) (minimum$ 50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> �� � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pennitted work including materials, labor, protit, and other fixed costs. lt is the amount 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 sibned copy of the actual contract. <br /> ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> '' Iv1ECHANICAL RERMIT APPLICA`�I(�N�1GR�EMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit, agrees to do all <br /> work in strict aecordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this applicatioil are complete, true and <br /> correct. <br /> Applicant's Signature: _��'�— Date: ��1�—�� <br /> Reset Form <br /> 3 <br />