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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 /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of��00.00 or less;excludin�the cost of the tixture 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 Pem�it $ 15.00 <br /> State Surcharge � .50 <br /> Mail-In Fee(If Applicable) � 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION S -JOBS OVER$SQ0.00 <br /> [f above does not apply;follow guidelines below: <br /> L CONTRACT PRICE * is L25%of contract price with a(Minimum Fee of$50.00) <br /> 2,000.00 X ����� 50.00 <br /> (contract pricc) (minimum$SQ00) <br /> 2. STATE SURCIfARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fce of�.50) <br /> 2,000.00 x.0005 $ 1.00 <br /> (contract pricc) (ntinimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) � 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ 51.00 <br /> ■ * CONTRACT PR[CE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,profit, and other fixed costs. It is the ainount 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, tlie 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)249-460� for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pe�mit, agrees to do all <br /> work in strict accordance with the ordinances of the Ciry 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 /> 1 C <br /> Applicant's Si�rnature: _�-� �� � �� Date: �' 1 � (� _ <br /> ,.--- ' <br /> Reset Form '� <br /> 3 <br />