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`w <br /> - - — -- <br /> , <br /> ��� �� . ��� � � � �� . ��� � � � PERMIT�FEE CALGULATION(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 following requuements: <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 $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee (If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> :,=n � ¢,� �� � <br /> . ; <br /> . . <br /> � a�,w <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ..__,� ��� x.0125 $ �� .� , ,�-�„j <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> � C���� x .0005 $ �� ���'� <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <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 /> pernritted 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 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 /> • ** The STATE SURCHARGE is .000� of the Building Department at(952)249-4600 for the price. <br /> a'.��+�q,�a".#�. * ..r. .. � ��"ax �� �� .,� �� <br /> x , <br /> - , <br /> � � IT„�P�'$ � <br /> , <br /> � <br /> � <br /> . _ �. . n <br /> , , . . .s���._ � ���� � <br /> .{ <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 /> ---� ._ ..._-� <br /> , . _ ,, , <br /> Applicant's Signature: /��<�'! �`'- ,� <br /> �c �--� - _� Date: �'���" n ,� <br /> � <br /> 3 <br /> � <br />