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f � <br /> � <br /> PERMIT FEE CALCULATION(S) � <br /> : BASED OFF - 2002 STATE STATUE <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fixture or appliauce that meets all three of tl�e following requiremeuts: <br /> 1. Does not require modification to electrical or gas seivice. <br /> 2. Has a total cost of$500.00 or less;excli�dink the cost of the fixhue or appliance: and <br /> 3. Is im�roved, installed or replaced by the homeowuer or licensed contractor. <br /> Skip next section, if this applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee('If Applicable) $ 1.50 <br /> Total Permit Fee � <br /> PERMIT FEE CALCULATION(S) —JOBS OVER$500.00 —� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT YRICE * is 1.25%,of contract price with a(Minimum Fee of$35.00) <br /> �o( ��C'� , �`�— x A125 $ <br /> (contract pricc) (minimum$35.00) <br /> 2. STATE SURCEiARGE ** Add the State Bldg Code Div. Stircharge(�Iinimum Fee of�.50) <br /> x .0005 $ <br /> (contract price) (mininwm$ .�0) <br /> 3. POSTAGE�.HANDLING(Only on Mail-In Applicatious) $ 1.50 <br /> 4. TO'I'AI. PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pei-mitted work including materials, labor, profit, and other tixed costs. I[ is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are fiirnished 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 conh�act price for permit fee putposes. In tlie event that there is a dispute on tlie <br /> aTiiGliiii vf iiiC�i�� C^vSi, i;;e CIt`� ;�3y :CC(uPSt t�1� S�I�J::1:SS.01: ^f u Sl�l:e:� Cn�� pf t1�P arri�l rnlitrarY, <br /> ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREENIENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrces to do all <br /> work in strict accardance with the ordinanccs 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 /> �__.�.. <br /> Applicant's Signature:/ ' ��� Date: S /7 l�s <br /> C1� <br /> �,' _ _ - <br /> 3 <br />