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� <br /> . <br /> FERMIT FEE CALCULATION(S) <br /> BASED OFF- 2�02 STATE STATUE <br /> � Ycs, this section applies <br /> Thc rcplac�anent<>1'a Residential t'ixturc or ap�lianee that meets all threc��f thc 1'oll��wing requircmrnt�: <br /> 1. D��es not rcquire modification lo elcctrical or bas scrvice. <br /> 2. Has a t��tal c��st of`�SOO.UO or less; cxcludinv lhc cosl of thc Fixturc or appliancc: tind <br /> 3. ls improved, installed or replaced by the homcuwncr or licenscd contr<tctor. <br /> Skip next section. if this appiics; Cost ol Pcrmit $ 1�.(1O <br /> State Surcharge � 5.00 <br /> Mail-In Fee(If npplicable) $ 2.U(1 <br /> "Cotal Permit Fee $ <br /> [— PERMIT FEE CALCULATI4N(S)-JOBS aVER $500.00 <br /> It�ah��ve ducs nut aj�pl�: �i�llow �uidelines bel��w: <br /> I. CON"CRACT PRICG �` is 1.2_5�%,01�contract price with a (Mini u� Fee of$50.00) � <br /> �W� x .0125 $ ���� <br /> (runtract price) (minimum 5�0.001 <br /> ?. STATE SliRCHARGE '��� Add thc Stale Bldg Codc Div. Surchargc (Minimum Fee ufb5.U0) <br /> x .0005 $ �.�� <br /> (contract price) (minimuni�+�.00) <br /> 3. YOS'1'AGIi � HANDLWG (Only-on Mail-In Applications) $ 2.00 <br /> �1. TOTAL PERMIT FEE(Add Lines 1-3 Abovc) $ 5� '�� <br /> • ' CON"CRACT PRICE or JOB COST means the actual or estimated dollar amount charged l��r thc <br /> permittcel work including materials, labor,profit, and other fixed costs. It is the amount to bc chargcd <br /> t�� thc customer for the work dune. If any material, equipment, labor or installations are f�n�i�ished by <br /> thc c�wner. tenanl ��r anv other party, the reasunable market value of such items must bz a�lcied t�� thc <br /> c�timatc.d cost or contract price for permit fee purposes. In [he evenl that there is a disputc on thc <br /> �imount of the jub cost, the City may request the submission of a sianed copy of the actual a>ntract. <br /> ■ �" �I�he STATE SL;RCHARGE is .0005 times the Contract Price or�t minimum of$S.UO. <br /> MECHANICAL PERMIT APPLICATION AGREE1ViENT <br /> The undersigned hereby applies to th� City for issuance of a Mechanicaf Permit, a�rees to do all <br /> wurk in strict accordance with the ordinances of the City and thc regulations ��f the State ��f <br /> Minne�ota, and certifies that all statements made on this application are complete, tru� unel <br /> a��rrect. <br /> Applicant�s Signatu��e: ���1�� Date: �� ����� <br /> Reset Form 3 <br />