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l . <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes, this section applies <br /> The replacemeut of a Residential fixtw-e or a�liance that meets all tllree 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]ess; excludin�� the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed cont��actor. <br /> Skip next section, if this applies; Cost of Pern7it $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(lf Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � PERMIT FEE CALCULATION(S)-JOBS OVER�500.00 <br /> If above does not a�ply; follo���guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ,^���S C.J� x.0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SLiRCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) <br /> x .0005 $ <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE&HANDLING (Only on Mail-In Applicatioi7s) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar anlount 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 far the work done. If any material, equipment, labar 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 tl�e subnussion of a signed copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a miirimum 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 /> wark in strict accordance with the o�dina�ces of the City and the reoulations of the State of <br /> Minnesota, and certifies that all stater�e�s made on this application are complete, true and <br /> correct. <br /> /`� �""� <br /> „ , <br /> Applicant's Signature: � �� Date: , �� � <br /> J <br /> 3 <br />