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PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> [� Yes,this section applies <br /> � <br /> Thc replacement of a Rcsidcntial fixture or annliance that meets all three of the following requirements: <br /> 1_ Does not require modification to electrical or gas service. <br /> 2. f�as a total cost of$SOOAO 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 Pemut $ 15.00 <br /> State Surcharge $ l,pp <br /> Maii-In Fee(If Applicable) $ 2.OQ <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S —JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRA(:7'PRICN: * is 1?5°0 of contract price with a(Minimnm Fee of$50.00) <br /> ��'D U ,�.oi2s$ <br /> (contr�ct pricej (minimum 550.00) <br /> 2. STATE SIiRCRARCT <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAG�:&�IAr1I)I,Ilv'(i((h�ly on Mail-In Applications) $ _ 2.00 <br /> 4. TOTAI.PERNIIT FEE(Add I,ines 1-3 Above) $ ��Q•� <br /> ■ * CONTRACT PRIC� or JOB COST means the actuai or estimated dollar amount 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 for the work done. If any material,equipment, labor or instailations aze furnished by <br /> the owner,tenant or:u►y 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 /> MECHANICAL PERMIT APPLIC.ATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pcrmit, agrees to do all <br /> work in strict accordance with the ordinances of thc City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, truc and <br /> correct. <br /> � <br /> Applicant's Signature: t..,. iz, Date: 7�Z�"�ZD�.� <br /> 3 <br />