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J � <br /> , ^��,?5 t',y, }r�ti f�� �,ti ��S�ERMIT FEE GALCLTLATION(S)`;� ' , +-, ° r � ,, ;'; <br /> ^Y i Aa- �.�.�,,.:� . . . .a�7� �t�. ' � : r�:-.� <. � ���"_ �C f� i� �. <br /> • ` �.';� , �..,�,�;}"��.`;;1_ `_`,��BASED:bFF ;.2002 STATE STATUE ,f. ' ' : � - <br /> r �-; _ <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fi�cture or appliance 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; excludin�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 Pem�it $ 15.00 <br /> State Surchar�e $ .50 <br /> l�laif-In Fee(If Applicable) � 1.�0 <br /> Total Pcrmit Fce S <br /> PERMIT FEE CALCUI�ATION S -JOBS OVER $�00.00 <br /> If above does not apply; follow Quidelines belo�v: <br /> I. CO\TR.-�CT PRICE ' is I.?�°b of contract pric°° ��•ith a(�Iinimum Fce of 53�.00) <br /> � �oo�� . o�,; S��5.D0 <br /> (contrac:pnc�� (min,rnum>;�u0j <br /> 2. ST.aTE St?RCH.aRGF " .Add the State Bld�� Code Di`'. Surchar�e (�iinimum Fce ofS.�O) <br /> � ��,� x .000� S . �J O <br /> (cor,[;�c:pric�) Iminimum 5 �ul <br /> 3. POSTAGE � HANDLING (Onl� on tilail-(n .�pplications) S 1.=� <br /> �3. TOTAL PERIIIT FEE (.�,dd Lines l-3 .-�,bo�e) S v�' � <br /> • ` COti'TR.�CT PRICE or 10E3 COST means the actual or estimated dollar amount charged for the <br /> permitted �vork includin� materia(s, labor, profit, and other fized costs. It is the amount to be char�ed <br /> to the customer for the work done. If any material, equipment, labor or installa[ions are furnished by <br /> the owner, tenant or any other party, the re�onable 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 si�ned cop� of the actual contract. <br /> • **The STATE SliRCH.�RGE is .000� of the Building Department at(9��) 2�49-�600 for the price. <br /> � � � � � � :- ��_'� MECF-Ir1NICAL�PERI�IIT APFLICATION AGtn�EE��1EI�'T <br /> The undersiened kr�ceby��pplies to the Citv for issuance of a Mechanicai Permit, a��rees to do all <br /> work in strict accordance ���Il tkle ordinances of the Ciry and the re«ulations of the State of <br /> Ntinnesota, a�}d certi6es that'all statements e on this application are co���plete, true and <br /> correct. ! � <br /> ___�__ ( <br /> � ll 2 O� <br /> Appiicant's Si�nature: � Date: <br /> �. � Reset Form �- • , <br /> . � . .. . j <br />