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PERMIT FE� CALCULATION(S) <br /> � � BASED OFF - 200?_ �TATE STATUE � � �� <br /> ❑ Yes,this section applies. <br /> Thc; replacement of a Resideiltial fixtur-e or a��liancc that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas servicc. <br /> 2. 1-Ias a total cost of$500.00 or Iess;excluding the cost of the fixture or appliance: and <br /> 3. Is improvecl, installed or replaced by the homeowner or licensed contractor. <br /> Skip ncxt section, if this applics; Cost of Permit $ 15.00 <br /> State S�n�chai•ge $ .50 <br /> � � Mail-[n Fee(If Applicable) $ 1.50 <br /> � Total Permit E'ee $ <br /> P�RMIT FEE CALCULATION(S)—JOBS OVER $500.00 <br /> l f above does not apply; follow guidelines below: <br /> 1. CONTR�CT PRICC * is 125%of contract price with a(Minimum Fee of�35.00) <br /> `lQ� x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. STATG SURCHARGE 'k* Add the Statc Bldg Code lliv. Surcharge(Minimum Fee of�.50) <br /> x .0005 $ <br /> (contract price) (minimum$ .�0) <br /> 3. POSTAGG &I-(AiJDLING (Only o�l Mail-In Applications) � 1.50 <br /> 4. TOTAL PERMIT F�E(Add I.ines 1-3 Above) $ <br /> � * CONTRACT PR10E or JOB COST means the actual or estimated dollar amount charged for the <br /> pern�itted work including matcrials, labor, profit, and other fixed costs. It is the amount to be chargcd <br /> to the customer for the worl< done. [f any material, equipment, labor or installations are fucnished by <br /> the owner, tenant or any other party, the reasonable marl<et value of such items n�ust be added to the <br /> estimated cost or contract price for nermit fee purposes. In the event that there is a dispute on thc <br /> amotmt of the job cost, tl�e City may request tiie subinissio�l of a signcd copy of the actual contract. <br /> a *'k The STATE SURCE-IARGE is .0005 of the Building Dcpartment at(952)249-4600 for the price. <br /> MECHANICAL PEIZi'�ZIT APPLICATION AGREEMENT � <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> i . . .�__�_ ' L t__ �._,._. F 7_,_ i�:�. -7 tl,,. � l,.t;,,.-.,. +' tt,� Cr.,r:� f' <br /> �VUi`K iti Sifiui aCCU"tua�t�c �vlitt uic OCuiiin�i��S Gl �iic �.u� aCiti ���c I��U�auvu� �� u�� ��aw C� <br /> Minnesota, and certifies that all statements made� on this application are complete, true and <br /> correct. <br /> a -9- � � <br /> Applicant's Signature: Date: <br /> 3 <br />