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I • P�RiVIIT�'EE CALGUL.ATI4N(S) <br /> , <br /> ' BASED OFF - 20Q2 STATE STATUE <br /> ❑ 1'es,this section applies <br /> The re�lacement of a Residential fi�nire or appliance that nieets all three of the follo�ving requirements: <br /> l. Does not require modification to zlechical or gas seivice. <br /> 2. Has a total cosc of�500.00 or less; excludin�ihe cost of the finnrre or appiiance: and <br /> 3. Is improved,installed or replaced by the homeo�z�er or licensed conhactor. <br /> Skip neht section,if this applies; Cost of Pernut � 1�.00 <br /> State Surci�arge � .�0 <br /> � � Viail-In Fee(If Applicable} �, � 1.�0 <br /> Total Pernvt Fee S <br /> � PERMIT FEE CALCULATION(S)—JOBS OVER SSQO.OQ <br /> If above do�s nat appl�; follo�v guidelines belo��-: - <br /> 1. CONTR�CT PRTCE * is 1,Z�°ro of contract price �vitl�a(I1linimum Fee of S3�.00) <br /> ,p��PZ>�� x .0125� ���`-� <br /> (contract pricc) (minimiim 53�.U0) <br /> 2 STATE SliRCH.�RGE �`*.Add the State Bldg Code Div. Stu�chai•�e(Ztinimum Fee of 5.�0) <br /> ���s5 ` � .00Q� � �. 3 �f <br /> (contract�rice) (minimi�m$ .50) <br /> 3. POSTAGE �2:HANDLING(Oi�Iy on iY1ai1-In Applicafions) ��� �� � � 1.�0 <br /> 4. TOT�I:PERitiIIT FEE(Add Lines 1-3 Above) � ���� / <br /> a ? CONTR�GT PRICE or JOB COS-1' means the achial or estimated dollar amount char�ed for the <br /> pemlitted��-ork including materials, ]abor, protit, and other fised costs. Ii is the amotuit to be charged <br /> to tl�e customer for the �-ork done. If any n�aterial, equipn�ei�t, labor or installations are fixnushed by <br /> the o���ner, tenant or any other party, the reasonable markzt value of such iter.is musi be added to the <br /> estimated cost or contract price for pernzit fee purposes. In��the e�•ent that there is a disputa on the <br /> amouut ot the job cost, t]ie City may request the subnussion of a signed copy of the actual contract. <br /> � �*The ST�TE SLRCHARGE is .000� of the Buildin�Depamnent at(9ti2)249-4bOQ for the pnce. <br /> MECHAIvZCAL PERMIT APPLICATION<4GRE.E�IENT <br /> Tl1e undersi�led hereby applies to the Cit_y ior issuance of a itilechanical Pern�it, aorees to do`all <br /> «�orlc in strict accordance �vith the ordinai�ces of the Cirir and "the reaulations of the State of <br /> `Minnesota, and certifies that aIl statements made on this application are complete, true and <br /> 'con-ect. <br /> � <br /> �pplicant's Si�iature_ " l�i' � Date: ������ <br /> � <br />