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. , � <br /> . <br /> ��� � � 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$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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � .� _'�� � `'���' ���� � ..� � �- . - .,� <br /> .�y. .� .:s. <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 /> — ��I �� x.0125 $ � �4 �� � <br /> (contract price) (minimm $50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> f C � <br /> 2\ )� X .���5 $ � a � ✓ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> �� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � , <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 /> estimated cost or contract price for pernut fee puiposes. 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 /> • ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> ti���� µ �� �r �����, �������L�PERIVIZT;APPLICA'rIC3�'�C�REEMEI��'' ;��, . , <br /> ��� � � <br /> The undersib ed hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> wark in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statement made on t a plication are complete, true and <br /> correct. <br /> Applicant's Signature: Date: U ��/ � <br /> 3 <br />