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PERMIT FEE CALCULATION(S) <br /> ' ' � � BASED 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$�00.00 or less;excludina the cost of the fixture or appliance: and <br /> 3. Is improvcd, 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 /> Ntail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 <br /> lf above does not apply; follow guidelines below: <br /> 1. COVTRaCT PRICE * is 1.25%of contract pnce with a(;�linimum Fee of$35.00) <br /> ��7�Z , uZU X .o i�s � � (� �� � <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(llinimum Fee of�.i0) <br /> �� �) 7�� CIZ x .0005 $ I �0 � <br /> (contract pnce) (mmimum$ .50) <br /> 3. POSTAGE & HANDLING(Only on iv1ai1-In Applications) $ 1.50 <br /> 4. -['OTAL PER1�i[T FEE(Add Lines 1-3 Above) $ �1 � � � <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted work including materials, labor, profit, and other fixed costs. [t 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 /> estimated cost or contract price 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 /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT 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 ordinances of the City and the regulations of the State of <br /> Minnesota, and certiftes that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Si;nature: Date: �U � � � � <br /> 3 <br />