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4 <br /> � PERMIT FEE CALCULATION(S) <br /> F3ASCD OFF -2002 STATE STATUE <br /> ❑ Yes, this section applies <br /> The replacement 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;excludin�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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> � �� PERMIT FEF CALCULATION(S) '-JOBS�OVER $500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is ].25%of contract price wi�(Minimwn �ee of$35.00)aC <br /> � � <br /> x .0125 $ ��� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(A4inimum Fcc of$.50) <br /> `� 1 =- <br /> . _�"�r�_X.000s � . —__ <br /> (cdntract price) (minimum$ .50) <br /> 3. POSTAGE R HANDLING (Only on Mail-In Applications) $ 1.50� <br /> /� / <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ "G <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work includin�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 o�i�ner, tenant or any ether party, the :easonable 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 sibned copy of the actual contract. <br /> ■ ** The STATE SURCHARGC is.0005 of the Buildin�� Deparnnent at(953)249-4600 for the price. <br /> MECHANICAL I'ERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the �rdinances of the City and the reguiati�ns of the State of <br /> Minnesota, and certities that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: <br /> Reset Form <br /> � - <br /> � <br />