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. � <br /> _ �_._.__—_____ __ � <br /> PI�.CZMI"T F�:E CALCULATION(S) <br /> - BASED OFf - 2002 STATE STATUE <br /> ❑ Ycs,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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT �`�E C�L�t1LATION{S —J�BS OVER$500.40 ::�.... ' <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$35.00) <br /> ay. SOt . �{g x .0125 $ 36�b-76 <br /> (contract pricc) (minimuiti$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum I�ee uf�6.5(I) <br /> a q So i . �l S x .0005 $ � . 7S <br /> --- —-----�----___--- -- <br /> contract pricc) (minimum$ .50) <br /> 3. POSTAGG& HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 3 �.S . U ( <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 turnished 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 /> ■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> MEC�AN��A.L P,��:1�iT AI'PI,ICATION 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: ����'Yp� Uate: 3� j /o� <br /> Reset Form <br /> 3 <br />