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w <br /> r <br /> ! , <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fi�cture or appliance that meets all tlu-ee of the following requirements: <br /> 1. Does not require modification to electrical or gas seivice. <br /> 2. Has a total cost of$500.00 or less; excluding the cost of the fi�:hu�e 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) $ 1.50 <br /> Total Permit Fee $ <br /> � PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of conh•act price with a(Minimum Fee of�35.00) <br /> ._i <br /> �� ����� ��� x.0125 $ <br /> ('contract price) (minimum$3�.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of$.50) <br /> ^� fe%� <br /> � �✓/������ �.���5 � <br /> (contract price) (minimum$ .�0) <br /> 3. POSTAGE R HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � <br /> p * CONTRACT PRICE or JOB COST means the acriial or estimated dollar amount charged for the <br /> pernzitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the wark done. If airy material, equipment, labor or installations are fiirnished 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 conn•act price for peinut fee puiposes. In the event that there is a dispute on the <br /> amouut of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> � ** The STATE SURCHARGE is .0�0� of the Builduig Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do al] <br /> �vork 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: - e� Date: ;�>�/`D,� <br /> � <br /> -, <br /> � <br />