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� PERMIT FEE CALCULATION(S) � � <br /> BASED OFF - 2002 STATE STATUE 'I <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three 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; excluding 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 /> PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 i <br /> If above does not apply;follow guidelines belov��: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �� i ,— 7 <br /> ��v x.0125 $ `� � �- <br /> (contract price) (minimum�50.00) <br /> 2. STATE SURCHARGE ��C, Z � <br /> �— x.0005 $ Z �— <br /> (contract price) <br /> 3. POSTAGE& HANDLING (Only on Mail-In Applications) $ �S_�-� <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. lt 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 /> MECHANICAL PERMIT APPLICATION AGREEMENT � <br /> The undersigned hereby app(ies 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 /> � ,��, <br /> �, <br /> Applicant's Signature: � /� Date: <br /> �! <br /> 3 <br />