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. <br /> , . <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ 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; eYcludin�the cost of the fiYture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip neYt section; Cost of Permit $ 15.00 <br /> State Surchar�e $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow Quidelines belo�v: <br /> 1. Contract Price* is .012�% of job with a Minimum Fee of(�3�.00) <br /> so°o Y .oi�s $ �a.so <br /> (contract price) (minimum$3�.00) <br /> 2. State SurcharQe. X* Add the State BuildinQ Code Division a Minimum Fee of(� .�0) <br /> �o 0 0 x .000� $ ,2 � 50 <br /> (contract price) (minimum$.�0) <br /> 3. Postaae and Handlina (Only mrzi!-in applicalions) $ 1.�0 <br /> 4. TOTAL PERiVIIT FEE (Add lines 1-3 above) $ �C�• 5� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the permitted work inc(uding <br /> materials, labor,profit. and other fixed costs. It is the amount to be char�ed to the customer for the work done.If any materiai, <br /> equipment,labor,or insta(lation is furnished by the o���ner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signzd copy of the actual contract. <br /> **The STATE SURCHARGE is.000� of the contract price under$I,000,000 or$.50-whichever is greater. For valuations over <br /> $1,000,000 call the Depar[ment of Inspectional Services for the price. <br /> The undersiened hereby applies to the City for issuance of a Ntechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Applicant's Si�nature: � J ) � l� Date: � a�OZ <br /> Approved By: Date: <br /> 3 <br />