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PERMIT FEE CALCULATION(S) � <br /> BASED (�FF - 2002 STATE STATUE _� <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 af Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULAI'ION(S)-JOBS OVER $�00.00 �� <br /> If above does not apply; foliow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � �U� . � x .0125 $ �p��-� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> gt� . � X .000s $ �,�c� <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mai(-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 /> 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 lnstallations are furnished by <br /> tl�e owner, tenant or any other party, the reasonable market value of such items must be added to tl�e <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amou��t of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> MECHANICAL PERMIT APFLI�ATIC�N AGREEMENT <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: �� ��� <br /> 3 <br />