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I'I::RMI"I'FEE CALCULA"IION(S) <br /> BASED OFF - 2002 STATE STA"TiJF; <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> l. Does not require modilication to electrical or gas service. <br /> 2. I-Ias 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 $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PEIZMIT FEE CALCULATION(S}-JOBS OVER $50�.00 <br /> If above does not appl_y;follow guidelines below: <br /> 1. CONTRACT PRICE • is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ���C�_ Q� x .0125$ ��� <br /> (con[ract price) (minimum$50.00) <br /> 2. STATE SURCHARGE � <br /> 3 �oe. o o Y.0���5 $ c G 5 0 <br /> (contract price) <br /> 3. POSTAGE&Hi1NDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� �� <br /> - * CONTRAC"T PRICE or JOB COST means the actuai or estimated dollar amount charged for the <br /> permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are fumished 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 pnce for pemvt 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 signed copy of the actual contract. <br /> MECHAI�TICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in stnct accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> cot�rect. <br /> Applicant's Sig�iature: ��� ���✓ Date: �� �����✓ <br /> Reset Form <br /> 3 <br />