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, � ' PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replaceulent of a Residential fiature or appliance that meets all tlu-ee 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; excludin�the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed conhactor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCLJLATION(S)—JOBS OVER$500.00 `� <br /> lf above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � C7�n x.0125 $ <br /> (convact price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> x .0005 $ <br /> (contractprice) (minimum$5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. T'OTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar an7ount charged for the <br /> pernutted wark including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer far the work done. If any material, equipment, labor or installations are fumished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost ar contract price for permit fee purposes. In 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 STATE SURCHARGE is .0005 times the Contract Price or a minimum of�5.00. <br /> MECHANICAL PERMIT APPLTCATION AGREEMENT <br /> The undersigned hereby applies to the City far issuance of a Mechanical Permit, a�nees to do all <br /> work in strict accardance 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 and <br /> correct. <br /> �� <br /> � ,,/ � <br /> � <br /> <. 1 �I / <br /> Applicant's Signature: ���_ � ,'?l2. �� Date: �-� /v� � �'( <br /> ,��,; <br /> 3 <br />