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� PERMIT FLE GALCULATION(S) <br /> ' BASED OFF - 2002 STATF, STATUE <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. Nas a total cost of$500.00 or less;excludinQ 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 $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Totai Permit Fee $ <br /> a�g �3� �u � [� t� '`'�pac t. <br /> � �t � � '�� �: � ���:A�r.���: s,: <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price wj�i(Minimum Fee of$35.00) � <br /> �-iv ��Jr, <br /> x.0125 $ ��– <br /> . <br /> (�ontra t nce (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bidg C�Div. Surcharge(Minimum Feg of�.50) <br /> / •�— � <br /> /� .� _�� <br /> (�� x.0005 $��� <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> � <br /> .� <br /> ../�°.. <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 /> pern�itted 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 furnished 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 price for permit fee purposes. ln the event that there is a dispute on the <br /> amount of the jab cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> �,�KS.,N�.�'.iv.. .. ����.,. .�r�.i.����..� . . :��1. ���.�r�. �a����.:' $ ff <br /> � � 4� k�. <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 of <br /> Minnesota, and certifies that all statements made on this application are complete, true an <br /> correct. � <br /> � <br /> , L���F-� <br /> Applicant's Signature: � W" Date:/ <br /> Reset Form <br /> _ 3 <br />