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„ � <br /> PERIv1IT FEE'CALCULATION(S) ,� ' `”` `�' ' ' ` <br /> , <br /> BASED OFF - 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; excludine 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 FEE CALCULl-�TION(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$35.00) <br /> �3/ ya�= A X.�125$ ��Ur�i,2 S-�: <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> :1�1� yw . x.000s $ //S:�lu <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <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 installations are furnished 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 pernut 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 /> MECHANICAL PERMIT APPLICATION 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 /> / <br /> ) <br /> Applicant's Signature: �' �t.-�-- Date: ��'��� <br /> 3 <br /> , <br /> p - g1 +��� � j1y� J i)��:{�Y�f/�y��/' �p I lq��� U�A,�i t}�f(W�� 1'I �f ,��{ .y��� ��p�I.µ� ,. <br /> �$.`l's"v...1e.yV�:hV�}.f.alhl.l..:t,�C'�(u�����s�l���%A'1?W��Pi���l�f����l����e�7.ld'i.M�M4,Y�M1r1�Lf.�N�'�t^.. �" ku��Y�.YA�.4.FNWPf?lY�����d�.5`�NA4fi,1Y�l�.W.N�w�.���4N.��.4il�.if .� � . i�.µ�:.,. .� . . N'�14 «.....i� �,���.'I �ZI `... <br />