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' ► <br /> � PERMIT FEE CALCULATION(S) <br /> � BASED OFF - 2002 STATE STATLTE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixhu•e or appliance that meets all ttuee of the following requirements: <br /> 1. Does not require modification to electrical or gas seivice. <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 Surcliarge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee � <br /> PERMIT FEE CALCULATION(S) —JOBS OVER$500.00 '--� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> �jOb .C/-() x.0125$ <br /> (contract pricc) (trinimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(n9inimum Fee of$.50) <br /> x .0005 $ <br /> (contract price) (minimum$ .JO) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TO"I'AL PERM1'C FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACI' PRICE or JOB COST means the actual or estimated dollar amotmt charged for the <br /> pe►-mitted work including materials, labor, profit, and other fixed costs. It is the amouni[o be charged <br /> to the customer for t11e work done. If any material, equipment, labor or installations are fiirnished 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 pwposes. In the event that there is a dispute on the <br /> nliiGiiiii vf ii1C jab CCSt, ��e �;2j� .^,:a j� .CCiU�Sf 211� SU�JI11iSS.OP. of a sigr.ed coi y Of tl�P arri�l rnpfrar�, <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work 311 strict accordance with the ordinances of the City and the regulations of thc State of <br /> Minnesota, and certifies that all statements made on this application are complete, h-ue and <br /> conect. <br /> Applicant's Signature: ��/� Date: / v2 �__ <br /> 3 <br />