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.� <br /> l <br /> PER'�IIT FE� �'ALCULATIO:�(S) <br /> 2002 State StatutQ ❑ I'es 'I'his Sec�ion�pplies <br /> The replacement of a R�sidentiat fixture or appliance that meets ail three of the followin�requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less; excludine the cost of the fisture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 1�.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow ouidelines below�: <br /> 1. Co���aet l��-sce* �s .01��°�0 o`jo'o with a:!'iicaarnum Fec of($3�.00) <br /> � <br /> � y� 6 6 � .012� � <br /> (contract price) (minimum 53�.00) <br /> 2. State Surcharae. ** Add the State Buildin?Code Division a 1�Iinimum Fee of($ .501 <br /> x .000� � <br /> (contrac:pricej (rninimum S .�0) <br /> 3. Postaae and �andling (Or:dy m�riP-irt applieatiolas) � 1 jp <br /> 4. 'TO'I'4L �'�R:i�1�`F' ��� (Add lines 1-3 above) � <br /> *CONTRACT PRICE or JOB COST mear.s the actual or estimated dollar ar.lount charged for tne permitted work including <br /> materials,labor,orofit,and otl�er fixed costs. It is the amount to be charged to the customer for the work done. If any maTerial, <br /> equipment, laoor,or installation is furnisned by the owner,tenant or any other parry the reasonable market value of�uch items <br /> must be added to the estimated cost or contract price for permit[ee purposes. [n the ever.t that there is a dispute on the amount of <br /> thejob cost,the City may request the submission of a signed copy of the actual contrac;. <br /> **The STATE SURCHARGE is.000� of the contract price under$1,000,000 or�.�0-whichever is greater. For valuations over <br /> $1,000,OQ0 calf the Department of Inspectional Services for the price. <br /> The undersi�ned hereby applies to the Ciry for issuance of a�vfechanical Pennit,a,ees to do all work in strict accordanee u,�ith <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Applicant's Si�nature: Date: � /d G'� <br /> Approved By: Date: <br /> 3 <br />