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i w <br /> PERM[T FEE CALCULATION(S) <br /> 2002 State Statute Yes This Section Applies <br /> The ceplacement of a Residential tixture or appliance that meets a11 three of the following ' <br /> requirements: <br /> 1) Does not require inodification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit S I 5.00 <br /> State Surcharge S .50 <br /> Mail-In Fee � 1.�0 <br /> If above does not apply, follow giiidelines below: <br /> 1. Contract Price* is .0125% ofjob witl� a Minimum Fee of($35.00) <br /> �.5 �'�-' x .012 5 S 3S.C%c> <br /> (contract pricc) (minimtim�35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> x .0005 S � ' z s <br /> (contract pricc) (minimum$.50) <br /> 3. Posta�e and Handling (Only�nail-in applications) S 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) S ��•� � <br /> *CONTRACT PRICL:or JO[3 COST means the actual or estimlted dollar amount charged for the permittcd work <br /> including materials,I�bor,profit,and other fixed costs. It is the amount to be charge;d to the customer for the work <br /> done. lf any material,equipment,labor,or installation is furnished by thc owner,tenant or any othcr party the <br /> reasonablc market value of such items must be added to the estimated cost or contract price for permit fee purposes. In <br /> the event that there is a dispute on thc amolmt ofi the job cost,the City may request the submission of a signed copy ofi <br /> the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For <br /> valuations over$1,000,000 call thc Department of Inspectional Services for the price. <br /> The undersigned hereby aE�plies to the Ciry for issuance of a Mechanical Pcrmit,agrees to do all work in strict <br /> accordance with the ordinances of the City and the rcgulations of the Minnesota State Building Code,and certifies that <br /> all statements made on this application are complete,true and correct. <br /> l' � <br /> Applicant's Signature: /��-z.l� yiL��� Date: Z�� ���'� <br /> Approved By: Date: <br /> Reset Form <br />