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, • <br /> ~ '`�� ,��� `� , PERNIIT.EEE GALCUI;ATION(S) '; `r S ` ; <br /> ` BASED:OFF —�2002 STATE STATLTE . ." �` ' ` s � <br /> , <br /> ❑ .Yes,tlus 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;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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> :���,�r:'��Y�- �}�.tPER1VIIT F'EE CALCULATION(S)`'`=JOBS OVER$500 00 }f w��� 4 ��� <br /> ,.. _ <br /> If above does not apply;follow guidelines below: <br /> � 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> � f�'�� x.0125$ <br /> (c ntract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> : 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> • � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pemutted 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 pernut 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 STATE SURCHARGE is.0005 of the Building Department at(952) 249-4600 for the price. <br /> >"� :MECHAIVICAL 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 /> � <br /> s ly-- Y <br /> Applicant's Signature: Date: ,-� J � <br /> 3 <br />