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� PERMIT FEE CALCLTLATION(S) <br /> • � �BASED OFF -2002 STATE STATUE � � <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fixture or ap liance that meets all tl�ree 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 Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> i PERIVIIT 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$50.00) <br /> i �` � Z- •`J`J x.0125 $ ��• 1� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE �-7 <br /> t ,( (� �v 0 x.0005 $ � � S � <br /> `(contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <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 /> pernvtted 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 /> „p� � e� � � x��� �£���� ;� TCAT1orr.�� � ,�F� � <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 /> 1 <br /> I <br /> 4 / <br /> Applicant's Signature: Date: !(.� 2 <br /> 3 <br />