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,� i ' <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE i <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fiYture or appliance that meets all three of the 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. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee � <br /> PERMIT FEE CALCULATION(S) - JOBS OVER$500.00 � <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> ��� X.oi2s � %/a �� <br /> (contract price) (minimum�35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> �'a�� �, l i <br /> x .0005 $ � <br /> (contract price) (minimum$ .SOj <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> yC%, <br /> /��/ � <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charQed for the <br /> peimitted �vork including materials, labor, profit, and other fixed costs. It is the am�unt to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are,fiirnished 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 puiposes. In the event that there is a dispute on the <br /> amount of t:�e job cost, the City m.ay request the submissior. of a si�ned copy of the actual centract. <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL 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 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 /> --� <br /> Applicant's Signature: Date: �� � �''� <br /> 3 <br />