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� � • / <br /> PERMIT FEE CALCULATION(S) � <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this secrion applies <br /> The replacement of a Residentia] 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 /> = �� ,������:° P �,,�E '��{��,��� -JOBS QVET�.;�O �� ��.�'� .,.. <br /> If above does not appiy; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract pnce with a(Minimum Fee of$50.00) <br /> ��(L'G'c;���Cil� x .0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <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 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 /> � MECHAN3CA�PERMIT APPLICATION�AGREEMENT � '� <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees 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 a11 statements made on this application are complete, true and <br /> conect. <br /> Applicant's Signature: �1�� ���.�.4"^�� G � � Date: / ��� � 3 <br /> 3 <br />