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e � � <br /> � <br /> PERMIT FEE CALCULATIQN{S) <br /> BASED OFF- 2Q02 STATE STATUE <br /> ❑ Ycs, this section applies <br /> The replacement of a Residential fixture or ap�liance that mects all three of the following reyuirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;exdudine the cost of the fixture or a�pliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 1>.00 <br /> State Surcharge $ S.Op <br /> Mail-[n Fee(If Applicable) � 2.00 <br /> Total Permit Fee $ <br /> , P�!R���F��G��.C�.�,A'�C3�i��)=3t3��O"�ER�sa0.c�t� <br /> If above does not apply; follow guidelines bclow: <br /> 1. CONTRACT PRICE * is 1.25°r'o of contract price with a(Minimum Fee of$50.00) <br /> `6b�� x .oizs � 1�;b.U� <br /> (contract price) (minimum$�O.UO) <br /> ?. STA1'E SURCHARGE 1` �� <br /> x .0005 $ ��� <br /> (contract pticc) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> �3. 'I'OTAL PERMIT FEE(Add Lines 1-3 Above) $ ��l4.�J� <br /> ■ '" CONTRACT PRICE or JOB COST means the actual or estirnated doliar amount charged for the <br /> pennitted work including materials, labor, prolit, and othcr fixed costs. It is the amount to be chargcd <br /> to thc customcr i'or [hc work dotie. If any material, equipmcnt, labor or installations are Iurnished l�y <br /> thc owncr, tcnant or any other party, the reasonable market value of such items must be added to thc <br /> cstiniatcd cost or contract price for permit fce �urposes. In the event Lhat therc is a dispute ��n the <br /> amount o£ the jol� cost, thc City may reyuesl the submission of a signcd copy of the actual contract. <br /> 11�IECHANiCAL PERMI'T�PPI.ICATION AGREEMENT <br /> The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrces to do all <br /> work in strict accordance with the ordinances of the City and the regulaCions of the State uf <br /> Minnesuta, and certiiies that all statements made on this application are complete, true an� <br /> correct. <br /> , , <br /> Applicant's Signature:, ��� ��� Date: ---�� �` � � <br /> �.-- ---- --- —- ------ <br /> Reset Focm <br /> 3 <br />