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t <br /> j PERti�1IT FEE CALCliL�TIOti(S) <br /> �, B4SED OFF - 2002 STATE ST�TliE <br /> ❑ Yes, this section applies <br /> The replacement of a Residential F.rture or appliance that meets a(1 three of the followin� requirements: <br /> l. Does not require modit'�cation to electncal or gas szrvicz. <br /> 2. Has a total cost of 5�00.00 or less; e.x�ludin,the cost oT the tixture or appliance: and <br /> 3. [s impro�ed, installed or replaced by the homeowner or licensed contractor. <br /> Skip next szction, if this applies; Cost of Permit � 1�.00 <br /> State Surchar�e � .�0 <br /> ��tail-[n Fee �If.�pplicable) $ 1.50 <br /> Total Permit Fee � <br /> I PER.�iIT FEE C:�LCULATION(Sj— JOBS 0�'ER��00.00 <br /> IT abo��e does no�apply: follo��guidelines below: <br /> 1. CO��TR_�CT PRICE * is l.Z�°��o of contract price with a(�[inimum Fee of�3�.00) <br /> � ��:�.C� x ot>> � S �-� �'� <br /> jeontraet pr,ce) (minimum 33�00) <br /> �. �T.�TE SCRCH.aRGE ** :�dd[he Stat� Bldg Code Di�. Sur:,harve(�(inimum Fee of�.�0) <br /> ���� C�� x .000� � �• �I <br /> (�or,�rsct pnce) (runimum� i0; <br /> 3. POSI'.�GE & Ei.��DLItiG(Only on '�iail-In :�pplications) � 1.�0 <br /> �. TOTaL PE2�I[T FEE (.add Lines (-3 .�bove) � �� � � �-' <br /> � " CONTRACT PE�ICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted work includin� materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. [f any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party. the reasonable mark�t value of such items must be added to the <br /> zstimated cost or contract pnce for permit fee purposes. [n the event that there is a dispute on the <br /> amount of the job cost, the City may request �he submission of a signed copy of the actual contract. <br /> � **The ST.-�TE SURCH.�RGE is .000� of the Buildin� Department at(9�2)Z49-�i600 for the pnce. <br /> UIECHANICAL PER�v1IT APPLICATION AGREEMENT <br /> The undersi�ned hereby applies to the City for issuance of a 1�lechanical Permit, agrees to do a(1 <br /> work in strict accordance with the ordinances of the City and the re�ulations ot the State of <br /> �Iinnesota, and �ertifies that all statements made on this applica[ion are complete, true and <br /> correct. <br /> .� licant's Si�nature: ��, V�-� '` � ' llate: I'� � �''L� � <br /> PP � <br /> , <br /> � <br />