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. , ' _ , <br /> PERMIT FLE CALCULATION(S) <br /> I3ASLD O1�F - 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 /> '`��1.,,, Does not require modification to electrical or gas service. <br /> 2. ��a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and <br /> 3. ls improve�,,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ ]5.00 <br /> SYate Surcharge $ .50 <br /> Mai�-In Fee(Ifapplicable) � 1.50 <br /> ToYal Permit Fce $ <br /> PERMIT FEE CALCL'LATION(S)-JOBS OVER �500.00 <br /> If above does not apply; follow�uidelines belo�v: <br /> l. CONTRACT PRICG * is 1.25%oFcontract r�ce w�(Minimum Fee of$35�.00} g� <br /> � u � <br /> � � x .0125 $ � ! <br /> contract price (minimum$3�.00) <br /> 2. STATE SURCNARGE ** Add the State Bldg Co�Biv. Surcharge(�9inimum�oT�.SO) <br /> • � • � ' x .0005 $ �'�� • <br /> ( ontract p ice) (mi imum$ .50) <br /> 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ 1.50 <br /> � -- <br /> �. TOTAL PERM(T FEE(Add Lines 1-3 Above) <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dolla amount charged for the <br /> permitted work including materials, labor, profit, and other fiaed costs. It is the amount to be charged <br /> to die customer for the wor6 done. If any material, equipment, labor or installations are furnished by <br /> lite owner, lenan[ or any olf�er parly, the reasunaole markei value uf such i[ems must b� acdeci te lhe <br /> estimated cost or contract price ror permit fee purposes. 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 actua) contract. <br /> ■ ** The STATE SURC'HARGE is .0005 of the Buildin�=Department at(952)?49-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanieal Permit, agrees to do all <br /> �vorl: in strict accordance with the ordinances of the City and the regulations of tl�e State of <br /> Minnesota, and certities that all statements made on this application are complete, true and <br /> correct. <br /> _� _..._. <br /> Applicant�s Si�naiure: � Datc: � ' �� � �� <br /> Reset Form ' / � <br /> �����l. <br /> 3 <br />