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J <br /> PER'�fIT FEE CALCULATION(S) <br /> 2002 State Statute Yes This Secfion Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less; exciudin�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 $ .SO <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) <br /> , � �' <br /> ; � � ��� .0125 $ r <br /> contract price) (zninimum�3 .00) <br /> 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($ .50) <br /> �� �� <br /> x.000s $ _�_� <br /> (conuact price) (minimum$.50) <br /> 3. Postage and Handling(Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ � / ' <br /> *CONTRACT PRICE or JOB COST means the acLual or estimated doilar amount charged for the permitted work <br /> inciuding materials,labor,profit,and other fixed costs.It is the amount to be chazged to the castomer for the work <br /> done.If any materiai,equipment,labor,or installation is furnished by the owner,tenant or any other party the <br /> reasonable markei value of such items must be added to the estimated cost or conuact price for permit fee purposes.In <br /> the event that there is a dispute on the amount of the job cost,the Cit-�may request the snbmission of a si�ied copy of <br /> the actual contrac� � <br /> **The STATE SURCHARGE is.0005 of the conttact price under$1,000,000 or$.50-whichever is greater.For <br /> valuations over$1,000,000 cail the Departmeat ofInspectional Sezvices for the price. <br /> The undecsigned hereby applies to the City for issuance of a Mechanicai Peztnit,ag�rees to do ali work in strict <br /> accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and ce�es that <br /> all siatements made on this appli tion are comQlete,true and correct � <br /> Applicant's Signature: C'V�-�' �� `l , C�' � Date: / � ..� <br /> Approved By: Date: <br /> � � � <br /> ,� ; <br /> { �, , E�esta��o ,k� `�., <br /> �,�, <br /> '� � :..'�3:�a� � ��,����'�u,,.� ;�� <br />