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__ ___ — -- <br /> � ��� PF,RMIT FFF CAI CULI�TION(S) � <br /> BASED OFF �002 STATE STATUF., <br /> �� --— --- -------- - --- _..- -- <br /> ❑ Ycs, this section applics <br /> �fhr repldcement of a Rcsidcntial IixtUrc or appliance that meets all three of the following requirements: <br /> 1. lloes not require modi�cation to electrical or gas service. <br /> 2. fias a tot_�I_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 contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> Statc Surcharge $ .50 <br /> Mail-InFee(IfApplicable) � 1.50 <br /> Total Permit Fce $ <br /> _ ___�- - — <br /> � _ _ _ __ PERMIT FEE CALCULATION�=;10BS OVER$S'00.00 _____�__�_ <br /> If�above does not apply; f�ollow guidelines below: <br /> 1. CON7'RAC'T PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> � ����j. 1.1�.Z- x .0125$ ��� • Z� <br /> (contract pricc) (minimum$35.00) <br /> Z. S"i'ATF,SUKCHARGF. ** Add the Statc Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> ���'��►��- x .0005 $ ��_ <br /> (contract pncc) (minimum$ .50) <br /> 3. POS"I�AGI? & HANDLING (Only on Mail-In Applications) $ 1.50 <br /> 4. TOTA1. PF.RMI'1' FEE(Add Lines 1-3 Above) $ ``�J���� <br /> ■ * CON��RAC'I' PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permiued work including materials, labor, protit, and other fixed costs. It is the amount to be charged <br /> to thc customer for thc �vork done. If any material, equipment, labor or installations are furnished by <br /> the o�vner, tenant or any other party, the reasonable market value of such items must be added to thc <br /> estimated cost or contract price for pern�it fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, �he City may request the submission of a signed copy oC the actual contract. <br /> � '*lli�S"I�,1�!f�: SUiti'llr\�:Gi: is .000� of thc F�uilding Dcrartn;c��t zt(952;249-,600 ior!he�rcc. <br /> ---- - _ _. ____ __._ ___—_ _— _-- — - <br /> MECHANICAL PERMIT APPLICATION AGREF,MENT <br /> �--- ---- --- ------- <br /> The undcrsigi�ed hcreby applics to the City for issuance 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 certifies that all statements made on this application are complete, true and <br /> correct. <br /> n��licant's Signahirc�: '(����. � ' 4.._m �. _ Datc: <br /> t� �� <br /> Reset Form <br /> 3 <br />