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Feb 13 14 03:02a RightMark Plumbing LLC 763-682-3456 p.3 <br /> PERMIT FEE CALCULATION(S) <br /> BASED O�'�-2002 STATE STATUE <br /> � Yes,this section applies <br /> The replacement of a Residential fia�ture or anpliance that meets all three ofthe 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 fi�ture or appliance:and <br /> 3. Is improvc�,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ ]5.00 <br /> Sta�e Surchazge $ 5.00 <br /> Mail-In Fee(If Applicabie} $ 2.00 <br /> Total Permit Fee $ <br /> PERMIl FEE CALCULATION S -70BS OVER$500.00 <br /> If above does not apply;follow�uidelines below: <br /> 1. CONT'RACT PRICE * is].25°/a of contract price with a(Minimum Fee of�SQAU) <br /> � � <br /> �L��� x A125$ ! � L.J� <br /> (dontract price) (minimum S50.M1) <br /> 2. STATE SLRCHARGE C� ���! <br /> x.0005 $ �=S� <br /> contract p�ce) <br /> 3. POST.4GE&HANDLING(Only on I�fail-In Applications) $ 2.00 <br /> Oii <br /> ./ <br /> 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ � � <br /> � * C�NTRAC"I' PRICE or J�B COST means the acival or estimated dollar amount charged for the <br /> permi�ted work including materials,]abor, profit,and other fixed costs. It is the amount to be charged <br /> to the custamer for the work done. If any material, equipment, labor or installations arc fumished 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. 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 /> MECI�ANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigtted hereby appiies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ord'anances of the City and the regulations of the State of <br /> Minnesota, and certifies that al] statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signatore: �'�'��"�G Date: ��f I y�� <br /> 3 <br />