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" � a <br /> � <br /> `;�. r <br /> � <br />� ;r, <br />� <br />� PERMIT FEE CALCULATION(S) � <br /> r <br /> 2002 State Statute ❑Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> i 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: <br />� and <br /> 3) Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of�'ermit $ 15.00 <br /> State Surchazge$ .50 <br />^ Mail-In Fee $ 1.50 <br />� <br />� If above does not apply,follow guidelines below: <br /> f <br /> 1. Contract Price*is .0125%of job with a Minimum Fee of($35.001 <br />� v c� <br /> �--� �. �- X .0125 $ <br />� (contract price) (minimum$35.00) <br />! <br /> j 2. State Surcharge. **Add the State Building Code Division a Minimum Fee of($.501 <br /> t <br />� <br /> k� x .0005 $ <br />; (contract price) (minimum$.50) <br /> f3. Posta�e and Handling(Only mail-in applications) $ 1.50 <br />� <br /> f <br /> 4.TOTAL PERMIT FEE(Add lines 1-3 above) $ <br />� <br />� *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br />� materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.If any material, <br />� equipment,labor,or installallon is fumished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the esdmated cost or contract price for pemut fee purposes.In the event that there is a dispute on the amount of <br /> 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 contract price under$1,000,000 or$.50-whichever is greater.For valuarions over <br /> k $1,000,000 call the Department of Inspectional Services for the price. - <br />� The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application aze complete,true and correct. <br /> , Applicant's Signature: �,� a,d��� Date: a— �(( <br />� <br />� Approved By: Date: <br />� <br />�' 3 <br /> k <br /> n <br /> G <br />� <br /> f <br /> i <br /> I <br />[ <br /> M <br />