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Oct 16 13 09:17a Stewart Plumbing Inc. 763-428-1733 p.4 <br /> �.� ,�:� �� <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The repEacement of a Residential fixture or avnfiance that meets all three of the following requirements: <br /> l. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of a500,00 or tess;excludinQ the cost ofthe fixture or app(iance:and <br /> 3. [s improved,installed or replaced by the homeowner or]icensed contractor. <br /> Skip next section, iYthis applies; CosT of Pern�it $ t 5.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Appl�cable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULAT[ON(S)—JOBS OVER$500.00 <br /> �f above does not apply;follow guidelines belovv: <br /> 1. CON"I'RACT PIiTCE *is 1.25%of contract price with a(Minimum Fee of�50.00) <br /> 3���5 X ,oi�$ �� c�Q <br /> {contract price) (minimum$SO.00j� <br /> 2. STATE SURCHARGE <br /> 3 ,�`-!.5 x.000s $ 1 . G 2. <br /> (contract pricc) � <br /> 3. POSTAGE&HANDLING(Only on Mail-In.'�pplications} $ 2,Op <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � ��•�� <br /> • " CONTRACT PR[CE or JOB COST means the actua! or estimated dollar amount charged for the <br /> permitted work including materials,labor, profit, and other fixed cosu. It is the amount to be charged <br /> to the customer for the work done. if any material, equipment, labor or installations are fumished by <br /> the oH+ner,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 tt�at ihere is a dispute on the <br /> amount of the job cost,the City may request the submission of a signed copy of the actuat contract. <br /> MECHANICAL PERMIT APPLICAT[QN AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in striet accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifes that all statements made on thls application are complete, true and <br /> correct <br /> Applicant's Signature: /tJ Date: J L�I CP--JJ� <br /> 3 <br /> - „ -,T��TiT•- - --- <br />