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. • . <br /> �, PER�ti�tIT FEE CALCUL��TION(S) <br /> � B�SED OFF - 2002 STATE STATUE <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fi�ture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or�as service. <br /> 2. Has a total cost of��00.00 or less; excludino the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licznsed contractor. <br /> Skip next section, if this applies; Cost of Permit � 1�.00 <br /> State Surchar�e $ �0 <br /> I�tail-In Fee�If Applicable) � 1.50 <br /> Total Permit Fee � <br /> � PERI�IIT FEE CALCULATION(S) —JOBS OVER $�00.00 <br /> If abo�e does not apply; follow guidelines below: <br /> l. CONTR.aCT PR[CE * is 1.2�°io of contract pnce with a(1�tinimum Fee of�3�.00) <br /> 3�� - C�2� X .oizs � � 7� � <br /> (co�itract price) (minimum$35 00) <br /> 2. ST.aTE S[."RCH.aRGE ** Add the State Bldg Code Div. Surcharge(�Iinimum Fee of$.�0) <br /> 3���—�� x .0005 $ � f � � <br /> (contract price) (minimum� .50) <br /> 3. POSTAGE & HANDLING(Only on !�1ai1-In Applications) $ 1.�0 <br /> 4. TOTAL PER�I[T FEE (Add Lines 1-3 Above) � ��` �� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including matenals, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any matzrial, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonab(e market value of such items must be added to the <br /> estimated 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 signed copy of the actual contract. <br /> ■ **The ST:�TE SURCH:�RGE is .000� of the Buildin; Departme�t at(9�2) 249-d600 for the price. <br /> MECHAi�'ICAL PERMIT APPLICATION AGREEti1ENT <br /> The undersigned hereby applies to the City for issuance of a i�lechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> �Iinnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Rpplicant's Si�nature: �Z � Date: 5�� � � -� � <br /> 3 <br />