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PERMI"I' F�L; CALCULATION(S) <br /> f3ASED (�FF - 2002 STA"TE STATUE <br /> ❑ Yes,this section a�plies <br /> The replacement of a Residential fixture or ap lianec that meets all three of the following rec�uii-eil�cnts: <br /> 1. Does not requil•e modification to electrical or gas service. <br /> 2. I-Ias a total cost of$500.00 or Icss;excludin�the cost of the fixture or aj�plianc�: and <br /> 3. Is improved, installed or replaced by the homcowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Pct7nit $ 15.00 <br /> State S�u�charge $ .50 <br /> Mail-[n Fee (If Applicable) $ l.50 <br /> � Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JOBS OVER �SOO.UO <br /> If above does not apply; follow guidelincs below: <br /> 1. CONTItAC'I'PRICG * is 1.25%of contract pricc with a(n9inimum Fee of$35.00) <br /> . <br /> x .0125 $ <br /> (conh�act pi ce) (minimunt 535.00) <br /> 2. STATG SLIRCHARCr ** Add the State Bldg Code . Surcharge(nlinimum Fec of�.50) <br /> � .0005 $ <br /> (conh•act c (uiinirnum$ SO) <br /> 3. "'�:�-�.TAGE &HAIv'DLING �Or�ly on Mail-In Ap�lications) $ 1.50 <br /> 4. TOTAL PERA'IIT FEE(Add Lines 1-3 Above) $ � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pem�itted work including�naterials, labor,profit, and other fixed costs. It is the an�ount to be charged <br /> to fl�e customer for the worl< doue. If any material, equipinent, labor or installations are furnished by <br /> the ow�ner, tenant or any other party, the reasonabie market value of such iCenls must be added to the <br /> estii�iated cost or contract price for permiC fee purposes. In the event that there is a dispute on the <br /> amount of thc job cost, the City may rcquest the submission of a signed copy of the actual contract. <br /> ■ **The STATE SURCHARGE is .0005 of the Suilding Department at(952)249-4600 for the price. <br /> M�CHAMCAL PGIZi'VIIT APPLICATION AGREEMENT � <br /> The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> �- ' �._-�3 ' i- i- -�._,._..,.,, t' �t., i�'�.. ,7 Fl.,,, l.,f: F rl,,, Cr.,r� 4 <br /> �vuCx lii Siii�� aC�vivaii�i, ivliii iiiG Oiiiuiaii�c� vi �i,� �liy di,u <«c i�bU�a«�i�S vL �,.� ��u�� :,� <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> ,�' <br /> Applicant's Sibnattue:l� - �-�� � Date: -S� � C%� <br /> 3 <br />