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. � <br /> . PERIvIIT FEE CALCULATION(S} <br /> BASED �FF - 2002 STATE STATUE <br /> [] 1'es;this secrion applies <br /> The replacement of a Residential fi�ture or appliauce tilat meets all tluee of the fallowintr i'equirements: <br /> 1. Does not requir'e rnodificatian to electrical or aas service. <br /> 2. -Has a tatal cost of��00.00 or less;esciudin�the cost of the fixturz or appliance: and <br /> 3. Is im�iroved,installed ar reglaced by the homeowner or licensed contractor. <br /> Skip ne�:t secrion; if this applies; Cost af Pernut S 1�.00 <br /> State Surcharge � -�� <br /> Mail-In Fee(If Ap�licable) S 1.�0 <br /> Totai Peritut Fee S <br /> , ` PER�UIIT FEE �'ALCULhTION(S j—JOBS O�'ER SSO�:Ot} <br /> If above does not apply; follo«j attideli��es b21o�t': <br /> 1. CONTR.�CT PItICE " is 1.2�%af contract pnce with a(1Tinimum F`ee of S35.Od) <br /> � � <br /> �,�7�. �7�� <br /> �' ��?-f..% �_o12s� � <br /> {c nh�acipricc} (minimumS3�.00'} <br /> 2. STATE SURGHARGE ="'f Add the Siate Bld�Cade Div. Surchar�e(1linirnum Fee of 5.�0) <br /> �3 Y�� '' ``�% <br /> �,000s � �- <br /> (contract price) (minimum S .�0) <br /> 3.'POSTAGE&H:�I�iDLING{Onlv on Mail-In�pplications) S I.�O <br /> 4. TOTAI,PERZ�IIT FEE�add Lines 1-3�bove} � /�'���� <br /> a '� CONTRACT PRICE or JOB CUST means the acntal or estimated dr�ilar amount char�ed far the <br /> pernutted wark includin�materials, labor, profit, and otlier fixed costs. It is the amowlt to be charged <br /> to the custon�er for the «�orl:done. If any materiat, equipment, labor or installations are fiirnished by <br /> the o���ner, tenant or any other part��, tl�e reasonable market value of such items n7ust be added to ihe <br /> estimated cost or coniract price for pernut fe�, puiposes. In the e��ent that therz is a dispute on the <br /> amount of the job cost, the City may rec�uest thz subnussion of a sigi�ed copv;of the achial contract. <br /> � x�The STATE SLJRCH.ARGE is .�OOti of tlle Buildin�Departinznt at(9�2)249-=�600 for dle price. <br /> ivIECH.A_NICAL PERMIT APPLIC�TION AGREE�IENT ° <br /> The undersi�zed hereby applies to the Cit;r for issuance of a ��lzchanical Pern�it, agrees to do aIl ' <br /> 1uor1< in strict accordance ��Jith the ordinances of the City and 't1�e reQulations of the State of <br /> Minnesota, and certifies that all statements made on this apgIication are camplete, true and <br /> carrect. <br /> � <br /> - Applicant's Sib ature: ��%��j Date: !���✓C;�� <br /> � <br /> � <br />