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, <br /> • �Yl�;IFti�1IT FEE CALCULATION(S) <br /> 2002 Stare Statute ❑ Yes This Section Applies <br /> "Clie replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1 j 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 /> Mail-In Fee $ 1.50 <br /> lf ubove does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimuin Fee of($35.00) <br /> X .oi2s � � �b.vC� <br /> (contrac�price) (minimum$35.00) <br /> 2. S�ate Surchai-�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> x .0005 $ � ��� <br /> (contract price) (minimum$ .50) <br /> 3. t'usta�;c and �Iandling (Only mail-in appliratioiis) $ 1.50 <br /> -:, T(�1'AL YER�IIT FEE (Add lines 1-3 above) � ��.-� <br /> ' CO"1'I21\CT PKICE or JOB COST means the actual or estimated dollar amount charged for the pemlitted work including <br /> ma:en3!s, labor,profit,and other t'ixed costs. It is the amount to b�charged to the custome;for the work dorc. Ifany material, <br /> eq�ipment, labor,or installation is furnished by the owner,tenant or any other parry the reasonable market value of such items <br /> mu,t he added [o the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> che job�osc,the Ciry may request the submission of a signed copy of the actual contract. <br /> •'"i he STATE SURCHARGE is.000� of the contract price under�,1,000,000 or$.50-whichever is greater. For valuations over <br /> S I,�JUU,�00 call the Department of Inspectional Services for the price. <br /> Thr undersigned hercby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> che ordinances of the Ciry and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> ❑pplic�tion are complete, true and correct. <br /> . <br /> .-�p;�i:c:int's Signature: � Date: ��"�'ds <br /> :�ppi����ed Bv: Date: <br /> 3 <br />