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PERMIT FEE CALCULATION(S) <br /> � BASED OFF - 2002 STATF, STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture ar 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 5500.00 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 � I5.00 <br /> State Surcharge � .50 <br /> Mail-In Fee(If Applicable) S 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 I.25%of contract price with a(Minimum Fee of$35.00) <br /> �G�C� X .���zs� .��. �� <br /> (contract price) (minimum$35.00) <br /> 2. STATF,SURCFIARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ot$.50) <br /> _ x.0005 �_ / 6 " <br /> (contract pricc) (minimum$ SO) <br /> 3. POSTAGE&HANDLING(Only on Mail-fn Applications) $ I.50 <br /> � � <br /> 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ ' � <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labar,profit, and other tixed costs. ]t 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.0005 of the Building Department at(952)249-4600 for the price. <br /> � MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersi�ned 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 /> Applicant's Signature: ( S Date: �D'��` �� <br /> Reset Form <br /> 3 <br />