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� PERMIT FEE CALCULATION(S) <br /> j BASED OFF - 2002 STATE ST�1'I,UE <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;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 Perrriit $ 15.00 <br /> State Sw�char�e $ .50 <br /> Mail-In Fee(If Applicable) $ I.50 <br /> Total Permit Fee $ <br /> � PERMIT'�FEE CALCULATION(S)-JOBS OVER $500.00 <br /> If above does not apply;follow g�iidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> � � ���' � °% <br /> �� •� x .0125 $ <br /> �� (contr�ct pricey (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum�,l;j'�c of S.�11) <br /> \� ,i !�" <br /> � ��, "��� , x .0005 $ � , ✓ <br /> � �con�ract price) (ininimum$ .50) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ <br /> V "� ,� <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 custo���er for the wark doi�e. lf any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable market val�ie of such itei��s must be added to the <br /> estimated cost or contract price for pennit fee purposes. In the event that there is a dispute on the <br /> amow�t 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 Buildin�Department at(95�)?49-4600 for the price. <br /> MEC}-(ANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit, 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, tr�ie and <br /> correct. <br /> Applicant's Signature: Date: � � / � � <br /> Sf t f UC�sn <br /> 3 <br /> ' � �.�,�rvc ?l3� l61 <br />