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'�, PER��IIT' FEE CALCULATIO'�(S) <br /> � BaSED OFF - 2002 STATE ST�TtiE j <br /> ❑ Yes, this section app(ies <br /> The replacement of a Residentiaf fixture or appliance that meet; all thr�e of the followin�requirements: <br /> 1. Does not rzquire moditication to electncai or�as service. <br /> 2. Has a total cost of 5�00.00 or less; excludino the cost oPthe tixture or appliance: and <br /> 3. [s improved, instaied or replaced by the homeownzr or licensed contractor. <br /> Skip next szc�ion, if�his applies; Cost of Permit � 1�.00 <br /> State Surchar�e � .�0 <br /> tiiail-[n Fee(If.�pplicable) $ 1.�0 <br /> Total Permit Fee � <br /> ����� PER:��IIT FEE C�LCULATIO�(S)- JOBS 0�'ER$�00.00 <br /> If abo��e does not apply; foilow guidelines below: <br /> 1. COrTR_�CT PRICE * is 1.2�°ro of contract pnce with a(�[inimum Fee of�3�.00) <br /> Ll �C�U . �:� x.oi�s � � �C� � � <br /> �co�ltract pncej (rninirnum 335 00) <br /> ?. ST.aTE SC`RCH.-1RGE ** Add the State Bld,Codz Div. Surchar�e(tilinimum Fee of�.�0) <br /> ��_ <br /> �57�� , G� x .000� � o C� � <br /> (con�rsct�nee} ;�-unimum� �0) <br /> 3_ POSTAGE & Et.�VDLNG(Only on �Iail-In Applications) � 1.�0 <br /> �. TOTaL PE2�[[T EEE (.-�dd Lines 1-3 Above) � � � , <br /> ■ * CONTRACT PRICE or JOB COST mzans the actual or estimated dollar amoun[ char�ed for the <br /> permitted work includin� matenals, labor, profit, and other fixed costs. [t is the amount to be char;ed <br /> to the customer for the work done. If any matenal, 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 /> zstimated cost or contract pnce for permit fee purposes. [n the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a si�ned copy of the actual contract. <br /> � **The ST.�TE SURCHARGE is .040� of the Buildin� Departmen�at(9�Z)249-�3600 for the pnce. <br /> � NIECHANICAL PER�'�IIT APPLICATION AGREEtiIENT � <br /> The undersigned hereby applies to the City for issuance ot a ��techanical Permit, a�rees to do all <br /> work in strict accordance with the ordinances of the City and the re�ulations oT the State of <br /> �Iinnesota, and certifies that all �tatements made on this application are completa, true and <br /> correct. <br /> ' .-� � �i <br /> .applicant's Si�natur� j�. Da�e: -' <br /> 3 <br />