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�'ER'h�ilT FEE CALCULATIaN(S) <br /> BASED QFF-2402 ST�TE STAfiUE <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;excludine the cost of the fiacture 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 $ I 5.00 - <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PEP�T FEE�A.LCULATIt�N 5 -JOBS OVER$5{}�.t}t} <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$ 5.00)� <br /> � � ��x.0125$ � , � <br /> contract rrice) (minimum$35 00) <br /> 2. STATE SURCHARGE *'�Add the State Bldg Co�d�e Div. Surchaxge(Minim�Fee of$.50) <br /> �� � � � x.0005 $ -�� <br /> ___�.,tprice minimum$ 50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> � "✓ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 6 <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 mazket 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 reyuest 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 /> MECHANI�AL PERMIT APPLICATION AGREEII�IENT <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: ' v V � <br /> Sf t f�lC�p� <br /> 3 <br />