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� � � PERMIT FEE CALCULATION(S) �'� <br /> BASED OFF - 2002 STATE STATUE � <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. I�as a total cost of$500.00 or less; excluding the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner ar 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 /> Totai Pcrmit Fe2 $ <br /> PERMIT FEE CALCULATION S' -JOBS OVER$SOO.i�O �:..,;. .. .., . �-: `` <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of�50.00) <br /> pl'��D � x .oi2s $ g �J� . OJ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE � C <br /> /��� x.0005 $ � � J <br /> (contract price) <br /> 3. FOSTAGE&HANDL�NG(Only on Mail-In Applications) $ 2.00 <br /> � �S� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � �� � <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 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 /> '� ��'���MECHANICAL PERMIT APPLICATION���AGREEMENT � �� <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 certities �ha� all statements made on this application are complete, true and <br /> correct. <br /> ��J ", <br /> --��,� <br /> Applicant's Signatu�e; �'`� ate: <br /> 3 <br />