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. ° �� <br /> �-�`;i s i�'°'�'�r`;s", `�,> 's,PERMIT:FEE,�CA.LCITI�ATION(S) ` � '�� � , , ' <br /> � i��> t . �� �9� � 4_�h� ��-�.,.�. � L�. ��f i e}�.,.:, � : r . �F� ,� :J �� ti�. ��'� .�-,� ���r; <br /> • :,:�.�,� .,��>�:,.�'{� ;� � �:_,.�:BASED OFE, :2002.STATE STATUE ,�.. :� ��n:��ti� _,•-,,. ..t : <br /> ❑ Yes, this section applies <br /> "1 he replacement of a Residential fixture or appliance that meets all three of the followin�requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Ship next section, if this applies; Cost of Permit � 15.00 <br /> State Surchar�e $ 50 , <br /> Mail-In Fee(If Applicable) � 1.�0 <br /> Total Pcrmit Fee S <br /> � PERMIT FEE CALCUI.;ATION(S) -JOBS OVER $500.00 � <br /> If above does not apply; follow guidelines below: <br /> 1. CO�iTR-�CT PRICE * is l.?�°o of contract price �vith a (�linimum Fee of 53�.00) <br /> ��1 lM� x .OI�� S ���' �G <br /> (contrc;pnc�� (minimum��:00) <br /> 2. STATE SliRCH.-1RGE " .Add the State Blde Code Div. Surch�r_e (�(inimum Fcc of S.��) <br /> �� . �� <br /> x .000� 5 ��.- <br /> ontract pric:) (minimum� ';G1 <br /> �. POSTAGE & H.�,\�DLI�G (Onl� on 11aii-(n .applications) S 1 �Q <br /> -3. TOTAL PER,�IIT FEE (.�dd Lines 1-3 .-�,bo�e) S � � <br /> � ` CONTR�CT PRICE or 10B COST means the actual or estimated dollar amount char�ed for the <br /> permitted �vork includin� materials, labor, profit, and other fixed costs. It is the amount to be char_ed <br /> to the customer for the �vork done. lf an}' material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, [he reasonable m�rket value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the e��ent that there is a dispute on the <br /> amount of the job cost, the Ciry may request the submission of a si�ned copy of the actual contr�ct. <br /> • " The STATE SURCHARGE is .0005 of the Building Department at (9�3) 249--1600 for the price. <br /> - _ � MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersi2ned hereby applies to the Ciry for issuance of a Ivlechan�cal Permit, a��rees to do all <br /> work in strict accordance with the ordinances of the Citv and t re�ulations of the State of <br /> Iviinnesota, and ce i� that all statements made on this app �cation are complete, true and <br /> correct. <br /> Applicant's Si�natur � Date: v� O� <br /> , � Reset Form • . <br /> _ j <br />