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�, PERMIT FEE CALCULATION(S) <br /> SASED 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. Has a total cost of$500.00 or less;exc(udin�[he cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or(icensed contractor. <br /> Skip next section,if this applies; Cost of Permit � 15•� <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee S <br /> PERMIT FEE C.ALCULATION S -JOBS OVER$500_00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is L.25%of contract price with a(Minimum Fee of$35.00) <br /> CZ! <br /> / <br /> ,3�i�. �3 � �� X.o�25s �,�5 <br /> (conUact price) (minimum$35.00) <br /> 2. STATE SURCHARGE ;*Add the State Bldg Code Div.Surcharge(Minimum Fee ot$.50) <br /> � �-�(�-. �"� x.o�s $ l. � � <br /> ��pn�p��) (minimum S .50) <br /> 3. POSTAGE&I-It�NDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S �� V <br /> ■ * CONTRAC[' PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permittad work including materials,labor,profit,and otfier fixed costs. [t is the amount to be charged <br /> to the customer for the 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 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 /> ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGRE� <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 certifies that all statements made on this application are complete, true and <br /> conect. <br /> : <br /> Applicant's Signature. \ Date: /��(�� <br /> Reset Form <br /> 3 <br />