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PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or a�pliance 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; excludine 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 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 $500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.2�%of contract price with a(Minimum Fee of$50.00) <br /> 3900.00 X .o1,s � 50.00 <br /> (contract price) (minimum$50 00) <br /> 2. STATE SURCHARGE ** Add the State Bldj Code Div. Surcharge(�iinimum Fee of 55.00) <br /> 3,900.00 X.000s $5.00 <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE&HA�IDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERNIIT FEE(Add Lines I-3 Above) $��.�� <br /> ■ * CONTRACT PR[CE 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 /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ ** The ST,ATE SURCHARGE is .000� times the Contract Price or a minimum of$5.00. <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 state�nents made on this application are complete, true and <br /> correct. <br /> .---f <br /> �. 1 � �r <br /> ''.'w��1�.. � � 'tl� �:,Ta�,: _... G� <br /> Applicant's Signature: � � � +� �Date: ( -1 (� <br /> Reset Form 3 <br />