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i <br /> PERMIT FEE CALCULATION(S} <br /> . BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or apniiance 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,instailed 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 /> �� ..��� �cvi,A�orr s -�oBs ov -���r��t " � .����,�� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> � O/ xA125$ � �� <br /> ' (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x.0005 $ � �� <br /> (contract price) (minimum$ .50) , <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> a. 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 permit 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 contcact. <br /> • **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> � � .<� ye�[I , <br /> .3) 'f f .•��'������CF)!_�� ..�� �� y : � � <br /> y Y. �. ;j�.1 E �`� j'�{ <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 /> Applicant's Signature: � Date: ��U��� <br /> f <br /> Reset Form <br /> 3 <br />