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• •. <br /> ' PERMIT FEE CALCULATION(S) � <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the followinb 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 � I 5.00 <br /> State Surcharbe � .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION S -JOBS OVER�500.00 <br /> If above does not apply;iollow guidelines below: <br /> 1. CONTRACT PR[CE *is 125%of contract price with a(Minimum Fee of$35.00) <br /> . 5� - X .0�25� �3. �S <br /> (co�trar,t pricc) (minimum$35.00) <br /> 2. STATE SURCNARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> JJw� x A005 $ �. �� <br /> (contract pricc) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) � I.50 <br /> �i,� <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 /> 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 installations are furnished by <br /> the owner, tenant ar any other party, the reasonable market value of such items must be added to the <br /> estimaCed 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 /> ■ ** The STATE SURCHARGE is.0005 of the Building Department at(952)249-4Fi00 ior ihe price. <br /> MECHANICAL 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 /> Applicant's Signature� , Date:/�' ����Q <br /> � <br /> Reset Form <br /> 3 <br />