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� PERMIT F�;E CALGULATI�N(S) .�� � <br /> BASF_,D OFF - 2002 STATE STATLTF <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]ess;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 Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � .r���,...",3,,,;�,. ' PERMiT FEE�'ALCUI;ATjON S�- ?(?�3S O�irR�50�?.QO � �� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PR10E * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � 6v � <br /> /�o��c�o ^ x .0125 $ 2c�U� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE � <br /> x .0005 $ � <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> CX�3 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 2�� r <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 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 /> �"�=� �±�C " � ���PE�1� .�� ���� ��`!�,. � `� <br /> � s .. <br /> M; . ._ ._.r, <br /> �- . . ._.. .n . .__._._ . ,� _,�..� �, �� � . �. �a .. �.� <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: � Date: �� � � � � <br /> � Rese# Form � <br /> : , <br /> 3 <br />