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r <br /> PERMIT FEE CALCULATION(S)'` � <br /> BASED OFF - 2002 STATE STATUE ;j <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; excludin�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 Pernut $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> "� � � ' � '� PERMIT FEE CALCULATION�(S)�-�70B�S O�ER ��500.00 �� <br /> � <br /> � �. � � <br /> If above does not apply; follow�guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ��2-S.. �'� x.0125$ S • 3 � <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> �2� . ='G' x .0005 $ r y� ( <br /> (contract pnce) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ J Z- , Z i <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted 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 perrrut 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 /> �q �� h�^� ��3�CHANICAL PERMT':L� ..:�' �E���"��T AGREE' �' k.��`����x '' ,� <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 and <br /> correct. <br /> Applicant's Signature. � ��� � Date: l Z ' -� � ���--� <br /> 3 <br />