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� PF,I�M�"(� F�EE CALCULATION(S) <br /> BASEi� Oi,i�-2002 STATE STATUE <br /> � Yes,this section applies <br /> The replacement of a Residential tixture or ap I�p 'ance that meets all three of the following requirements: <br /> I. Does not require modiliration tc�electrieal or gas service. <br /> 2. I las a tota) cost of S�OU.00 or less;excludina the cost of the fixture or appliance:and <br /> 3. Is improved, installed�>r replaced by the homeowner or licensed contractor. <br /> Skip next section,if t}us applies; Cost of Pern�it � I5.�0 <br /> 5tate Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE C'A[.C`LJLATION(S)-JOBS OVER �500.00 � <br /> If above does not apply; f�ollow guid�lines bclow: <br /> I. CONTRACT PRICE * i� I_"_'�'%o of contract price with a(Minimum Fee of$50.00) <br /> 2000 � �,,,; � 50.00 <br /> (contract pricc) (inmimum$�0.00) <br /> 2. STATE SURCHARC:F; **Add the State Bldg Code Div. Surchar�e(Minimum Fcc oC$5.00) <br /> 2,000.00 Y ��,�; �5.00 <br /> ___ --- -- - _ ___ <br /> (contract pricc) (minimum$>.00) <br /> 3. POSTAGE& IIANDLIN(; (Only on Mail-In Applications) S_ 2A0 <br /> 4. TOTAL PF,RNIIT FEF,(neld Lines 1-3 Above) $5,��0 <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pern�itted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work dc>ne. If any material, equipment, labor or installatiuns 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 pricc; tor pcnnit tee purposes. In the event that there is a dispute on the <br /> amoimt of the job cost, the City may reyuest the submission oY a signed copy of the actual contract. <br /> ■ **The STATE SURCHARGE is.000�times the Contract Price or a minimum of$5.00. <br /> MECHANICAI. PER�TIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the C'ity for issuance of a Mechanical Perrnit, agrees to do all <br /> work in strict accocdance 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 �omplete, true and <br /> correct. <br /> Applicant's Signature' / Date: ���8��� <br /> Reset Form 3 <br />