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� � PERMIT FEE CAL�ULATION{S) � <br /> ! � BASED OFF - 2002 STaTE STATLTE � � � � <br /> ----� <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;excluding 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 � 5.00 <br /> Mail-Tn Fee(if Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CAi,CULATI�N{S)—Jt3BS�}V�R'���;t�£i, ', <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 /> ,�i��-oA d� - . � <br /> x.oi2s� �L, <br /> (co�tract price) (minimum$50.00) <br /> 2. STATE SURCHARGE �� �,?� <br /> ����% x.0005 $ ' .;� <br /> (contract price) <br /> 3. POSTAGE&HANDLTNG(Only on Mail-in Applications) $ 2.00 <br /> �n' ��� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ '�,J � � � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted 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. 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 /> , .::, ;.., ..� ,� ' �. �.I�EC��+TTCAL P�RT�I�'�A�'��L���'I'��}�1;A�G�2EEM�. . �' �....:..... .' <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 Ciry 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 /> L- / <br /> Applicant's Signature: � Date: ° � <br /> /�-: <br /> � <br /> 3 <br />