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� � � PERMIT FEE CALCULATION(S) � <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes, this s�ction applics <br /> Thc replacement of a Residential fixture or appliance that meets all three of thc following requirements: <br /> 1. Does not require modification 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. Ts improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 1.00 <br /> Mail-In Fee([f Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � PERMI 1 FEE`CALCULATION S —30BS OVER $500.00 �w Tr �.� <br /> If above does not apply; follow guidelines below: <br /> 1. COIVTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> � a Ul� .00 x .0125 $ `7 C� � t�0 <br /> (contract pricc) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> �oZU(�C7•l� x .0005 $ I �bQ <br /> (contract pricc) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ •J 3� u� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, 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 market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amotmt of the job cost, the City may reyuest the submission of a signed copy of the actual contract. <br /> �.`-=,��b " MECHANI��AL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the Ciry and the regulations of the State of <br /> Minnesota, and certifies that all stateinents made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: ���� ��C, Date: I aZ'I D'� ,rj� <br /> 3 <br />