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t^ � <br /> ...._. , . <br /> PERi'�IIT FEE CALCULATION(S) <br /> , <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 /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge$ .50 <br /> N1ail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Nlinimum Fee of(�35.00) <br /> ao � oo � Y .oi?s � o� sd <br /> (contract price) (minimum 535.00) <br /> 2. State SurcharQe. ** Add the State Building Code Division a 1�Iinimum Fee of(� .50) <br /> 2 0 � o ao x .0005 � �U <br /> (contract price) (minimum S .50) <br /> 3. PostaQe and HandlinQ (Only mail-in applicatio�:s) � 1.50 <br /> 4. TOTAL PERVIIT FEE (Add lines 1-3 above) � � G � . S d <br /> *CONTRr1CT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the cus±omer for±he 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 Ciry may request the submission of a signed copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under 51,000,000 or 5.50-whichever is greater.For valuations over <br /> $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 /> appiication are complete,true an orrect. <br /> Applicant's Signature: Date: �—,�a� d� <br /> Approved By: Date: <br /> 3 <br />