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, � <br /> � . � <br /> '� . 4 <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture 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;excludinQ 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 $ 15.00 <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> �����%, --x .0125 $ � -�1 j.L�� <br /> (contract price) (minimum$3�.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> � � <br /> �C C'C%� x.0005 $ �-' `�--�-' <br /> (c tract price) (minimum$.50) <br /> 3.Posta�e and Handlin�(Only mail-in applications) $ 1.50 <br /> 4. 'I'O'I'A.T.PER'VII'T FEE(�dd liries i-3 above) $ �� I, ��1 <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment,labor,or installation is furnished by the o�vner,tenant or any other party the reasonable market va(ue of such items <br /> must be added to the estimated cost or contract price for permit fee purposes.In the event tha[there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of the actual contract. <br /> *"The STATE SURCHARGE is.000�of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do al(work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and ceRifies that all statements made on this <br /> application are complete,true and correct. <br /> A licant's Si ature: � :' , �� �.� � �'��C'�x � � �C�� <br /> pp � � Date: � � <br /> Approved By: Date: <br /> 3 <br />