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• _ <br /> PERMIT FEE CALCf;�T_ATION(S) � <br /> BASED OFF -2002 '��;'��-'�TE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that rneets all three of the following requirements: <br /> I. Does not require modification to electrical��r�as service. <br /> 2. Has a total cost of�500.00 or less;excludint the cost of the�xture or appliance:and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Co,t of Permit $ 15.00 <br /> Statc Surcharge � .50 <br /> Mail-[n Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S) -JOBS OVER�500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25`%of contract price with a(Minimum Fee of$35.00) <br /> 2,500.00 x.0125$ 35.00 <br /> (contract pn;:c) � (minimum$3�. ) <br /> 2. STATE SURCHARCE ** Add the State� f31dg Code Div. Surcharge(�tinimum�Fec of$.50) � <br /> / �� <br /> 2,500.00 x .���5 � 1.25 ;' r� <br /> -- (contracl pricc) . ( nimum$ .50) � <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ - 1.50 <br /> �.��36.25 � • O�VJ <br /> 4. TOTAL PERMIT FEE(Add Lines I-3 Above) ��$ � <br /> ■ * CONTRACT PRICE or JOE3 COST means the actual or estimated�dollar amount charged fo <br /> permitted work including inaterials, 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 furnished by <br /> the owner, tenant or any other party, the reasonable inarket value of such items inust be added to the <br /> estimated cost or contract price for permit fee pur��o�es. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ **The STATE SURCHARGE is.0005 of the Buildisa�;, Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issu�:in�e of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certities that all statements made on this application are complete, true and <br /> correct. <br /> r <br /> ` � <br /> Applicant's Signature: � �(, __ Date: <br /> ,� � ,-�� <br /> . r <br /> , ! <br /> i <br /> Reset Form � 3 <br />