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PEKMIT FEE C�ILCULAT[ON(S) <br /> BASED OPF - ?002 STATE STATUE I <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$�00.00 or less; exdudina the cost of the fixtw�e or appliance: and <br /> 3. ls improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Per���it $ 15.00 <br /> State Surcharge $ .50 <br /> hlail-In Fee(If Applicable) $ I.50 <br /> Total Permit Fee � <br /> PERMIT FEE CALCULATION(S)-JOE3S OVER $500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.?5%of contract price with a(Minimum Fec of$35.00) <br /> u'� � <br /> �j� x .0125 $_��/ <br /> (contract price) (minimum�3�0(�) <br /> 2. S7'ATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Vlinimum Fce of 5.�0) <br /> ���v� �� <br /> x .0005 $ __ - �� <br /> (contract price) (minimun�5 �f)) <br /> 3. POSTAGE& HANDL►NG (Only on Mail-In Applicatio��s) $ L50 <br /> lJ / <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) �� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be char�ed <br /> to the customer for the worh done. If any material, equipment, labor or installations are fw�nished by� <br /> the owner, tenant or any other party, the reasonable marhet value of such items must be added to the <br /> estimated cost or contract price for permit fiee purposes. In the event that there is a disp�ite on the <br /> amount of the job cost, the Ciry may request the submission of a signed copy of the actual contrxct. <br /> ■ ** The STATE SURCHARGE is .0005 of the Buildin�Department at(9�?1249-�4600 for the price. <br /> MECHAN[CAL PERMIT APPLICAT[ON AGREEMENT <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 oti <br /> Minnesota, and certities that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: �"���_7 <br /> i Reset Form <br /> � <br /> � <br />