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. : - . <br /> i .>--,,�':Y " PERMIT FEE CAT,CULATI(7I�(S)��' � }��`:�` ��` ''���_; '", <br /> � BASED OFF - 2002 STATE STATUE <br /> ❑ Ycs, this section applies <br /> The rcplacement of a Residential fixture 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;excludine the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permi[ $ 15,00 <br /> State Surcharge $ ,50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � %�9�. ��� x .0�25 $ S�. ���; <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> � ��I`t� •Ot7 x .0005 $ �, O C� <br /> (contract price) <br /> 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ S3 D v <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, 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 /> estiinated 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 signed copy of the actual contract. <br /> >� '��R:�IIT".5. <br /> *�� .�� ,.��.` � ; . <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> ��ork in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> a <br /> Applicant's Signature: �/G'C�o��—�--- Date: J����l� <br /> � <br /> '�h"''' <br /> Reset Form� : <br /> .��;, <br /> 3 <br /> �� �� <br /> //a636 <br />