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��rr''�- <br /> � � ' _ • <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1) Does r_ot require modification to electrical or gas service. <br /> 2) Has a t,�tal cost of$500.00 or less; excludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is impr ved, installed or replaced by the homeowner or licensed contractor. ` <br /> Skip neYt section; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follo�.v guidelines below: <br /> 1. Contract Price* is .0125% of job �vith a Minimum Fee of(�3�.00) <br /> i7 5oa x .oi2s � �i�. 75 <br /> (contract price) (minimum 53�.00) <br /> 2. State SurcharQe. ** Add the State Building Code Division a Nlinimum Fee of(S .501 <br /> 1"y� S 6° x .0005 � g � %j <br /> (contract price) (minimum S .50) <br /> 3. PostaQe and HandlinQ (O�:ly mail-in applications) $ 1.50 <br /> ----� <br /> , . <br /> 4. TOTAL PER�rIIT FEE (Add lines 1-3 above) � aq . O <br /> ,�------_— <br /> *CONTRACT PRiCE er JOB COST means the actnal or estimated dolla;amount cnarged for the permitted work including <br /> materials,tabor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of the actua]contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under S I,000,000 or$.50-whichever is greater.For valuarions over <br /> S 1,000,000 cail the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a I�techanical Permit,a�rees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Nlinnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Applicant's Sib ature: � ��1��_ Date: _ /�'���02 <br /> Approved By: Date: <br /> 3 <br />