� ':�,� V��°;,,".�,�f`�� `'-� ,�pERMIT FEE.CroALGUI�-ATION(S) ,� ' �_,�� ;���` , ;•�
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<br /> _-;. ,,;.��,. �,b?j.;,,;r �`..,aBASED"OFF;.:2002_STATE STATIJE ,� . : , _ .�: -.� ,,.._
<br /> � Yes,this section applies
<br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements:
<br /> 1. Does not require modification to electrical or gas service.
<br /> 2. Has a total cost of$500.00 or less; e�ccludinQ the cost of the fixture or appiiance: and
<br /> 3. Is improved, installed or repfaced by the homeowner or licensed contractor.
<br /> Skip next section, if this applies; Cost of Permit S 15.00
<br /> State Surchar,e $ .50
<br /> Mail-In Fee(If Applicable) � 1.�0
<br /> Total Pcrmit Fee S
<br /> PERMIT FEE CALCULATION(S =JOBS OVER $500.00
<br /> If above does not apply; follow ouidelines below:
<br /> l. CO�ITR�CT PRICE ' is 1.3�°0 of contract price �vith a (�linimum Fee of 53�.00)
<br /> � ]�'�v� �a
<br /> V�v � .0 I�� S I OD-
<br /> (contrac:pnc�l (minimum 5��GO)
<br /> Z. ST.-�TE SL�RCH.aRGE " Add I ,: S;aie Bld�� Ccde Div. Surch�ree (>linimum Fcc ofS.�O)
<br /> /� 0� (�, . �
<br /> l�� • . .000, s —�
<br /> (contract pnce) (minimum� `G1
<br /> ;. POST�,GE 8: H.-�,NDLING (Onl�� en 1(ail-(n .�pplications) S 1 ��
<br /> �i. 7'OTAL PER,�IIT FEE (.�dd Lines 1-3 �,bo�e) S I O�"<�/ L/
<br /> • ` CONTR�CT PR10E or JOB COST means the actual or estimated doll�r amount char�ed for the
<br /> perrnitted work includin� materials, labor, profit, and other fixed costs. It is the amount to be char�ed
<br /> to the customer for che �vork done. !f anv ma?erial, equipment, labor or irs:allations are �urn�shed by
<br /> the owner, tenant or any other party, the re�sonable market value of such items must be added to the
<br /> estimated cost or contract price for permit fee purposes. In the e��ent that there is a dispute on the
<br /> amount of the job cost, the City may request the submission of a si�ned copv of the actual contract.
<br /> • " The STATE SURCHARGE is .0005 of the Building Department at (9�') 2�49-�600 for the price.
<br /> - -.- MEC�-�ANICAL PERMIT APPLICATION AGREEMENT �
<br /> The undersianed hereby applies to the Ciry for issuance of a Ivtechanical Permit, aerees to do all
<br /> work in strict accordance with the ordinances of the Ciry and the re�ulations of the State of
<br /> tviinnesota, and c � ies t all statem ts de on this application are complete, true and
<br /> correct.
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<br /> Applicant's Si` ure: Date: (� 1 �
<br /> , � Reset Form � ,
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