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� <br /> PERMIT FEE CALCtiLATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all tln•ee of the following requirements: <br /> 1. Does not require modification to elech�ical or gas service. <br /> 2. Has a total cost of$�00.00 or less; excludin�the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeo��vner 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 uot apply; follow guidelines below: <br /> L CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�35.00) <br /> �G Z�Z' .c-'�Z x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50) <br /> x .0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE &HANDLING (Only on Mail-In Applicarions) � 1.50 <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 inaterials, labor, profit, and other fixed costs. It is the amount to be eharted <br /> to the customer for tl�e work done. If any material, equipment, labor or installations are furnished 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 pernut fee puiposes. In tl�e 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 conn-act. <br /> m ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, ab ees to do all <br /> worl< in strict accordance witll the ordinances 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 /> Applicant`s Signature: ,�i�ti—��� -- Date: ������'=� <br /> 3 <br />