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, " <br /> PERMIT FEE CALCULATION(S) <br /> BASED 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;excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> FERMiT rEE CALCULATIOI�(S -JOBS OVER $SOG.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTR4CT PRICE * is 1.2�%of contract price with a(Minemum Fee of��0.00) <br /> �')�C�'�i' ��`� x .0125 $ �� . �O <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE <br /> ��OC', OU x.0005 $ �� Q C� <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on 1�Iai1-In Applications) $ 2.00 <br /> 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ J /` �'� <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charoed for the <br /> permitted work includine materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are fumished 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 disputz on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actua] contract. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, aQrees 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 th 11 statements made on this application are complete, true and <br /> correct. <br /> � <br /> Applicant's Signature: r� ����ate: Z /3 �Z <br /> ; <br /> Reset Form <br /> 3 <br />