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� 1 . . <br /> , <br /> PEI�ti�IIT FEE CALCULATION(S) <br /> � BASED OFF - 2002 STATE STATliE <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fi.rture or appliance that me�ts all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a tota( cost of$�00.00 or less; excludino the cost of the fixture or appliance: and <br /> 3. Is improved, insta(led or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit � 1�.00 <br /> State Surcharge $ .�0 <br /> [��1ail-[n Fee([f Applicable) � 1.50 <br /> Total Permit Fee � <br /> �� PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 <br /> If above does not apply; follow guidelines below: <br /> I. COrTR.�CT PR[CE * is 1.2�°io of contract price with a(:�Iinimum Fee of$35.00) <br /> �'�� � <br /> � x .O12� $ �-� ._ <br /> (contract price) (minimum$3�.00) <br /> 2. STATE S[;RCH.aRGE ** Add the Stat�Bldg Code Div. Surcharge(tilinimum Fee of�.�0) <br /> ��� � � x .0005 $ ' � � <br /> (contract price) (minimum� .50) <br /> 3. POSTAGE & HANDLING(Only on i�tail-In Applications) � � <br /> � <br /> 4. TOTaL PER�t[T FEE (�dd Lines 1-3 Above) � �- �� <br /> ■ * CONTEZACT PRICE or JOB COST means the actuaL or estimated dollar amount char�ed for the <br /> permitted work includin� materials, labor, profit, and other fixed costs. [t is the amount to be charged <br /> to the customer for the work done. If any matenal, 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 pnce for permit fee purposes. [n 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 /> ■ **T'he ST,aTE SURCH.�.RGE is .000� of the Building Departme�t at(9�2)2�9-4600 for the price. <br /> MECHANICAL PERIVIIT APPLICATION AGREEMENT <br /> T'he undersi�ned hereby applies to the City for issuance of a i��lechanical Permit, a�rees to do all <br /> work in strict accordance w-ith the ordinances of the City and the re�ulations of the State of <br /> �Iinnesota, and certifies that a11 statements made on this application are complete, true and <br /> correct. <br /> . �. i r�` . 1� I � ��`, <br /> �pplicant's SiQnature: 1/'�.�� �` Date: I <br /> 3 <br />