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f <br /> ♦ _ <br /> ; �- ;`,i 5 ;�, ''`;`�ti s°' `�L; ,�PEI2MIT FEE CAi;CUI��1TIbN(S)�� ' ;�� , ,� ` , ` : <br /> f I .�y � i.�h� ♦ �...: � L� �;:17i ta� f".;. r�r. a._• 1 �e (' U � ` � ' "��, <br /> . .� . <br /> ;'.;';' `� ��.,s;s��'x.;',.�_ y .��BASED"OEE,:�2002:STATE STATUE ,�. . �'� ��� � <br /> "Ja ' <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fi�cture or appliance that meets all three of the followin�requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or(ess; excludin�the cost of the fixture or appliance: and <br /> 3. [s improved, installed or replaced by the homeo�vner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit � 1�.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) � 1.�0 <br /> Total Permit Fee S <br /> "-` PERMIT FEE CALCUI,ATION S) =JOBS OVER $�00.00 <br /> If above does not apply; follo�v�uidelines below: <br /> l. CONTR.�CT PRICE * is 1.��°a of contract price with a (�llinimum Fee of 53�.00) <br /> � �� 00 �g� <br /> , � .Ol'� S � <br /> (convac:pnccj �� �minimum���00) <br /> 2. ST�TE SL!RCH.aRGE *' .�dd the State Bld�_ Code Div. Surchar_e (�linimum Fcc ofS.�O) <br /> � W .� x .000� S . �.J v <br /> (contrct pcice) (minimum� �O1 <br /> �. POSTAGE �. HANDL[NG (Onl�• on 11ai1-In Applications) S 1.�0 <br /> � <br /> -t. TOTAL PER��IIT FEE (Add Lines 1-3 Above) S • <br /> • ` CONTR.�CT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted wark including materiafs, labor, profit, and other fixed costs. It is the amount to be char_ed <br /> to the customer for the �.vork done. If any material, equipment, labor or installations are fumished by <br /> the owner, tenant or am� other party, the reasonable 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 copy of tlie actual contract. <br /> • ** The STATE SURCHARGE is .0005 of the Buildin� Department at(9��) 2=t9--t600 for the price. <br /> �• : ' iv1ECHAI�IICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Niechanical Permit, a,rees to do all <br /> �vork in strict acc ance'��with the ordinances of the Ciry and the re�ulations of the State of <br /> Iviinnesota, and certifies th�at all statement��de on this application are �ompl�te, true and <br /> correct. ��, <br /> r � ` '� <br /> r' <br /> Applicant's Si�,na�u.�e_ � ate;� � � <br /> ,, • + <br /> ,� Reset Form • , <br /> . . . .. ... ... . . _ <br /> 3 <br />