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. , <br /> � � <br /> . - <br /> , <br /> • — ---- - <br /> , ,, <br /> PERMIT FEE CALCULATION(S) y, 'I <br /> �. . ; <br /> " ' '; .: BASED OFF - 2002 STATE STATUE _-- '------ _------__� <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all ttu�ee of tl�e tallowing requirrn�er7ts: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excltiding the cost of tlie tixture or appliance: ai�c', <br /> 3. Is improved, installed or replaced by the homeowner or licensed contracl:o��. <br /> Skip next section, if this applies; Cost of Pernut �-.---�'�t��� <br /> ' `�O <br /> StateSurcharge `� _..--- <br /> Mail-L7 Fee�(If Applicable 1 '� -__ _ �-:?`) <br /> Total Permit I+ee S_... . __ <br /> — ---._ —__.' <br /> `�� � PERMIT FEE CALCULATION(S) --JOBS OVER$500 00___,_ __, <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(A�linimum N ec of$35.0� <br /> � � <br /> y�� � <br /> X.ot2s �__---5---- __ .__.___ <br /> (contract price) (minimurn 9;�'�UD) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surchar�e(�7iuim��1�j�f�.50) <br /> /�c� �. <br /> % x .0005 $ _._.._.---___. _ __._ _.__. <br /> (contraCtprice) (minin'uin'i9; ',ll) <br /> 3. POSTAGE&kiANDLiNG(Only on Mail-In Applications) `�___..._.._.._..__� `�!� <br /> �� <br /> i <br /> 4. TOTAL PERMI'T FEE(Add Lines 1-3 Above) $__..____._____._ __ ____..._____ <br /> ■ * CONTRACI' PRICE or JOB COST means the actual or estimated dullar amotmt char�;ed 1or the. <br /> permitted work including matenals, labor,profit, and other fixed cc�sts. If is tlie arnounf tc> be char};c+l <br /> to the customer for the work done. If any material, equipment, labor or iustallations arc fi�rnished l�y <br /> the owner, tenant or any other party, the reasonable market value of such items nn�st hc �+isie<1 to lhc <br /> estimated cost or conhact price for permit fee puiposes. Iii tlie event thal thcre is a disuute c>n ilie <br /> an�oiuit of the job cos,, the C:ty may request tl�e submissior. of a si�;ned cc���� e'!��?1N :`'t"_i! "`-"�!!�°.i`-•r <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Departtncnt at(952)249-4600 kbr tr�c�pricc. <br /> ------ <br /> _ _..-- -- _._ <br /> � <br /> MECHANICAL PERMIT APPLICATION AGREENIENT___ _ _ � <br /> The undersigned hereby applies to the City for issuance o'f a Mechanical Permit, a�rc�•s lo do all <br /> �vork ii1 strict accordance with the ordinances of the City and tl�� �re�;ulations of� lk�,� St�ate ot� <br /> Minnesota, and certifies that all stateme�lts made on this application arc cornplc�i�, irue and <br /> correct. <br /> Applicant's Signature: j�`;t�' �/� JG�- <br /> 3 <br />