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PERMIT FEE CALCULATION(S) <br /> BASED OFF - ?002 STATL STATI.JE <br /> � l'es,this section applies <br /> The replacement of a Residentia! tixture or appliance that meets all three of the Following requirements: <br /> 1. Does not require moditication to electrica) or�as service. <br /> �. Has a total cost of 5500.00 or less:e�cludin<�the co;t of the ti�ture or appiiance: and <br /> ;. ls improved_ instailed or replaced b��the homeowner or licensed contractor. <br /> Skip ne�t section, ifthis applies; Cost of Permit S I5.00 <br /> State Surchar�e $ �.00 <br /> ti1ail-In Fee(If;lpplicabl�) �_ �.Of} <br /> �I'otal Permit 6ee S ►�,,.��"� <br /> PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 � <br /> If above does not appl�: follow�uideiines beloti: �r h�`� �" :��„����/ `�l�� <br /> S`1��� Sa <_v�/�'n'� <br /> I. C0ITRAC�� PRfCE " i5 I.��"o at contract price with a(!Ninimum Fee of��0.00) e,.�� f�>P �.c� <br /> .SEx-� � 01'� 5 ��, C'�� <br /> _— ----- _ _---_ <br /> i cornruct nrire 1 1 minimwn�50.00) <br /> ?. STATE SI:RCHARGE <br /> 5��� x .000� $ . 3 <br /> — --_____._-- _-- —_ --_ <br /> {�i�ntract pnee 1 <br /> 3. POS"fAGE& HA\DLl'�G(Only on Vfail-In Application,) �i �.0(!__ _— <br /> �. TOTAL PER'�1IT FEE(Add Lines I-i :abovel 5 5 � •L� � <br /> � * CO'��fRAC�1 PRICE or JOB COS1� means the actuai or estimated dollar amount ehar�ed Cor the <br /> pennitted work includin�� materials, labor, protit. and other fixed costs. lt is the amount to be charged <br /> to the customer tbr the �ork done. it any material, equipment. labor ur instaliation� are t'urni�hed b� <br /> the owner, tenant or an} other part�. the rcasonable market �alue oT such item, must be add�d t.> the <br /> estimated cost or contract price for permit fee purposes. ln the e��ent 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 /> MECHANICAL PERMIT APPLICATION AGREEMENT � <br /> The undersig��ed hereby applie, to the City for issuance of a Mecl�anical Perit�it, agrees to do all <br /> work in strict accordanc� with the ordinar�ces of� the City and ihe regulationi of the State of <br /> Minnesota, and cer[ities th�t all statements made on this application are complete. true and <br /> correct. <br /> � � :� _ <br /> Applicant's Si`�,nature� <br /> � �' Date: �C�' ,�1�1 3 <br /> �-._ _ _ _�---— - - .. <br /> , <br /> > <br />