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PERMTT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the follcr���ing requirements: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of S50(?.00 or less;excludin�the cost of the tixture or ri��pliance:and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contra�tur. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION S)—JOBS OVER $SQO.OU <br /> If above does not apply;follow;uidelines belo���: <br /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum F'ee of$50.00) <br /> 2,000.00 X ����� 50.00 <br /> (contract pricc) lminimum 550.00) <br /> 2. STATE SURCHARCE ** Add the State Bldg Code Div. Surcharge(►tinimum Fcc of$SAO) <br /> 2,000.00 x ���5 �5.00 <br /> — - ---- --. _ _ _._ — — <br /> (contract pricc) �rt�inimum$5.00) <br /> 3. POST�GE&HANDLINC (Only on Mail-In Applications) � 2.00 <br /> 4. TOTAL PERMIT F'EE(Add Lines I-3 Above) $55:�0 <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar �imo�int charged for the <br /> pennitted work including materials, labor, protit, and other tixed costs. It is the�+mount to be charged <br /> to the customer for the work done. If any material, equipment, labor or install�hons arc furnished by <br /> the owner, tenant or any other party, the reasonable market value of such items nitist be added to the <br /> estimated cost or contraet price for permit fee purposes. In the event that th�,re is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy c7f the actual eontract. <br /> ■ **The STATE SURCHARGE is.0005 times the Contract Price or a minimum of�5.00. <br /> MECHANICAL PERMIT APPLICATION AGREEM�:NT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pcrmit, agrees to do all <br /> wot-k in strict accordance with the ordinances of the City and the regulatiorts of the State of <br /> Minnesota, and certiiies that all statements made on this application are complete, true and <br /> correct. <br /> Applicanrs Signature: Date: 04/12/11 <br /> Reset Form 3 <br />