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r <br /> PERIVIIT FEE CALCULATION(S) <br /> BASt'f� OFF -2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential tixtur�'or appliance that m�ets all three of the following requirements: <br /> I. Does not requfre moditication to electrical or gas service. <br /> 2. Has a total cost of�500.00 or less;excludin�the cost of the fixture or appliance:and <br /> 3. Is improved, installed or replaced by the homeowner or licensed eontractor. <br /> Skip next section,if this applies, Cost of Permit $ I5.0� <br /> State Surcharbe $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE Cr�I.CULATION S)-JOBS OVER $500.00 <br /> If above does not apply;follow guidclines below: <br /> 1. CONTRACT PRICE * is 1.25`%of contract price with a(Minimum Fee of$50.00) <br /> 1,800.00 x ���5� 50.00 <br /> (contract pricc) (minimum 550.00) <br /> 2. STATE SURCHARGF. �*Add the State Bldg Code Div. Surcharge('�iinimum Fcc ot$5.00) <br /> 1,800.00 x ���5 �5.00 <br /> --- —___ _ _ - ----- <br /> (contract pricc) (miniinum$5.00) <br /> 3. POSTAGE& HANDUNG (Only on Mail-[n Applications) � 2.00 <br /> 55.OQ <br /> 4. TOTAL PERMIT F'EE(l�dd Lines I-3 Above) $ <br /> ■ * CONTRACT PRICE or JOLi C(1ST means the actual or estimated dollar amount charged for the <br /> permitted work including materials> labor, profit, and other tixed costs. It is the tiittount to be charged <br /> to the customer for the work cl�nL. 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 pricc ti�r 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 si��ned copy of the actual contract. <br /> ■ **The STATE SURCHARGE. is.(1005 times the Contract Price or a minimum of$5.00. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersi�ned hereby applies tv lhe City for issuance of a Mechanical Permit, agrees to do al) <br /> work in strict accordance with th� ordinances of the City and the regulatiotls of the State of <br /> Minnesota, and certities that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: �� Date: 04/12/11 <br /> Reset Form 3 <br />