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PER.I4IIT FEE CALGULATIOl�(S) � � � <br /> BASED OFF - 2(}QZ STATE STATLTE <br /> ❑ Yes.Fhis sectioii applies <br /> The replac�nient of a Re�ideiltial t3�:hirz or ag�liarice diat meets all ttvse of the follov4ing requirements: <br /> 1. lloes nnt require riiodificatinri tn electrical or gas ser�•ice. <br /> 2. Has a total cost of�500.00 or less;excludin�ttie cost of the fisture or appliarice:and <br /> 3. Is impro�°ed,installed or repl<�ced by the hoitteo�rner o�•licensed contractor. <br /> Skip riext sectioci,if t}iis applies: Cost of Pennit � 15.00 <br /> State Surcliarge � 5.00 <br /> Mail-Iri�'ee(Tf Applicable) S 2.00 <br /> Totat Pee•mit Fee S <br /> _. _. _ _�._ ___ � .._ _ <br /> � FERMIT FEE G�LCUL�TI(�N('�}—JOBS OV�R$500.00 <br /> I1 at�o�e cioes not applv: follow�suictelines t�elaw: <br /> 1. CONTRACT PRICE * is 1.25°fo of contract price with a{Minimnm Fee of^�5p.pp) <br /> , _. _ <br /> r�L)C� �`'� � <br /> x.oizs $ E���( �� <br /> (contract price) (miain�una�50.00) <br /> 2. STATE StiRCHARGE � ,� <br /> �� ����I x.0005 $ �=�- `% <br /> (contrac[pnce) <br /> 3. POSTAGE�:H��1DLI�G(Only on Mail-In Applications) �_�_,._. 2.00 <br /> 4. TOTAL PERIVIIT FEE(Add Liues 1-3 AUove) � 7� ' <br /> ■ * CONTRACT PRICE or JUB C08T means die achial or estunated dollar auiount cliarged for the <br /> pennitteci�3�ork includuig n�aterials, labor.profit,and other fixed costs. It is tl�e a�nount to Ue chargeci <br /> to ttie ciistot��r for tkie woa�k do�ie. If any inatexial, equipiz�ezit, labor m�installatiorxs aa-e fiirnzsYxed F�y <br /> tlie ovvner. tena�it oi•any other pas�ty, tl�e reasonable m�•ket value of such items inust be added to tlie <br /> estimated cost or conh-act price for pen�iit fee �u�poses. I�i the event that there is a dispute ofi die <br /> amounC ot the job cost, tl�e City n��ay requesr the s�bmissioFi of a siened copy of the acnial contr�ct. <br /> � <br /> r; . __; ' Ni�C�3CA�TI��� "�A��LICATION��'rRFEI�IENT ,:.. =� :- , <br /> The �uidcrsi�;�cd hereby applies to the City far issu�titcc of a 1��lechat�ical Pennit, agrees to du all <br /> work in sQ�ict accordaz�c� w�itt� the ordiriarices of� thc City and tl�� regulatzoris o'Y tl�e State of' <br /> Mitmesoia. and cei�tifies that all statements made on rhis application are c�mplete, tnie and <br /> conect. <br /> Appticant's Signature: � � � Date: �����I- �� <br /> <-- <br /> 3 <br />