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_ ' I PERIv1IT FE� CALCULATION(S) <br /> � BASED OFF — 2002 �TATE STATUE <br /> ❑ ZTes, this section applies <br /> The replacement of a Residential fixture or appliance diat meets all three of the folIowina requirements: <br /> 1. Does not require modification to electrical or;as service. <br /> 2. Has a total cost of��00.00 or less;eschidin�tlle cost of the filture or appliance:and <br /> 3. Is improved,installed or replaced by the homeo��zer or licensed contractor. <br /> Skip next section,if this applies, Cost of Fernut � 15.00 <br /> State Surcharge � .�0 <br /> Mail-Ii1 Fee(If Applicable} � 1.50 ��� <br /> Total Permit Fee 5 <br /> i PERIVIIT FEE Cc�LCUL�iTIUN(S) —J�BS OVER �50�.00 <br /> If above does not apply; fallo���guidelines belo«�: <br /> l. CONTR4C'�'�'RICE �'is 1.25% of contract price with a(Minimuin�'ee of 535.00)�� �� <br /> 3j ��'� X .oizs� ���`�� <br /> � (coi�tract price) (mii�imurn S3�.00j <br /> 2 STATE SURCHARGE **Add the State Bld�Code Div. Surcharge (�tinimum Fee of 5.50) <br /> t <br /> �i�� �� � .00a� � / � 9 <br /> (contract price} (mi�iimufn S .�0) <br /> 3.� POSTAGE R,HAi�'DLIl��G(Oiiiy on 1'�SaiI-In Appiications) $ ` �� L�0 <br /> 4. TO'I'AI..PERi1�IIT FEE(Add Lines 1-3 Above) � �� �"'r <br /> � * CONTRACT PRICE or 70B COS'I' means the achial or estimated dollar amou»t charged for The <br /> � pernutted�vork�includir� materials, labor,profit, and othe�r fiaed casts. It is the arnotiuzt to be charged <br /> to the customer for the w�ork done. If any material, equipmznt, labor or installations are fiiriushed by <br /> the owner, tenant or a�ry other parry, the ��easonable market value of sucli iten�s nnist be added to the <br /> estiinated cost or contract price for pernut fee purposes. In the event that there is a dispute on the <br /> amaunt of the job cost, the City may tequest tlie subnussion of a signed copy of the actual contract. <br /> � **The STATE SURCFIARGE is.Q00� of the Buildin�Deparhnent at(9�2)?�9-�1bQ0 for the price. <br /> MECIiANICALPER�v1IT APPLICATION AGREEMENT <br /> Tlze iindersigned hereby applizs to the City• for issuai�ce of a 1��lechanical Pez-mit, am-ees to do all <br /> .��orl< in strict accordance �vith the ordinances of the City and the re?ulations of the State of <br /> Minnesota, and certifies that all statements made on this application are com�lete, true and <br /> coi�-ect. <br /> Applicant's Sib ature: Date: lJ '�J�L�� <br /> 3 <br />