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� �'1�RMIT PEE CALCUT A7'ION(S) <br /> ___gAS�D OFF_-_2�(l2_STA I[: S"i,ATUE � <br /> ❑ Yes,this section applies <br /> The repiacement of a Residential fixture or appliance th�t meets all three of the followin�requirements: <br /> 1. Does not require moctification to efectrical or�;as 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 Permit $ ]5.00 <br /> State Surcharge $ .jQ <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Tot�l Permit('ee $ <br /> [__ PER'NI1T FEE CALCIJL�-1TIOT�i(�)—.�OBS OVER $500.00 <br /> ]f�lbove does not apply; follo�v guidelines below: <br /> I. CONTRACT PRICG 'k is 1.25%of contract prica with a(Minimnm Fee of$35.00) <br /> � ;� � � ^ �� <br /> � , , <br /> ��C�U. ' X .o�2s $�� i <br /> ,� r(contr�ict pricc) (nvnimu �R35 00) — <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> � � ��. _- - �, <br /> '� ��'� �' X .000s � � .. � <br /> (conlr:+ct pricc) (minimum 4� .50) <br /> 3. POSTAGF_&HANDLING(Only on Mail-fn Applications) $ I.50 <br /> U 5� <br /> 4. 'TOTAL PERMIT FFE(Add Lines 1-3 Above) $ � <br /> • �' CONTRACT PRICF, or .IOB COST ineans the actual or estimated dollar amount charged for thE <br /> permitted work including materials, labor, profit,and other tixed costs. It is the amount to he charged <br /> to the customer for the work done. lf�ny material, equipment, labor or installations are furnished Uy <br /> the owner, tenTnt or any other ��arty, the reasonable market value of such items must be added to the <br /> estii��ated cost or contract price for permit fee pur�oses. ln 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 S'f ATE SURCHARGG is .0005 of the Buildin�Dc��arhnent at(952)249-4(,00 for the price. <br /> � ME�HANICAL I�ERMIT APPLICATION AGREEMENT <br /> Thc undersi�ned hereby applies to the City for issuance �f a Mechanical Permit, agrees to do all <br /> ���orl< in strict accordance with the o►•dinances of the City and the rebtilations ofi the State of <br /> Minnesota, and certifies that all statements ir�a.de on this application are complete, true a��d <br /> correct. � <br /> �,��� � ""1 <br /> Applicant's Si�nature`Y_ Date:_r � 7i� <br /> _ <br /> Reset Form <br /> � <br /> _� <br />