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.v <br /> . � PERMIT FEE CALCULATION(S) � <br /> BASED OFF -2OU2 STATE STATUE <br /> � Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the Yollowing requirements: <br /> 1. lloes not require modification to electricai or gas service. <br /> 2. Has a total cost of$500.00 or less;excluclina the cost of the fixture or appliance: and <br /> 3. ls improved,installed or replaced by the hoineowner or licensed contractor. <br /> Skip ne�;t section,if lhis applies; Cost of Pennit $ I�.00 <br /> State Surcharge $ 50 <br /> Mail-In Fee(If Applicable) $ ?.00 <br /> Total Permit Fee $ <br /> �� �� PERMIT FEE CALCULATION(S) -JOBS_OVER$�0�.�0 �� � <br /> If above does not apply;follow guidelines belo�n�: <br /> l. CONT'RACT PRICE * is 125%of con ct}�rice with a(Minimum Fee of�50.00) <br /> �� Y .0125 $ � • � <br /> (conVact price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the Staj��ld�de Div. Surcharge(!�Iinimum Fee o�) <br /> � � . <br /> � .000� $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&IIANllLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMTT 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,protil,and other tixed 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 oT such items must be added to the <br /> estimated cost or contract price for pennit fee putposcs. 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 S"TA�I�L? SURCHARUE is .000�of the Building llepartrnent at(9�2)249-4600 for the pnee. <br /> MECHANICAL:PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to dle City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the Cin- and the regulations of the State of <br /> Minnesota, and certifies that all statements ma is application are complete, true and <br /> correct. <br /> Applicant's Signature: _ � � � <br /> Reset Form <br /> 3 <br />