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r , <br /> � ``` a :' f x ��PERMIT FEE CALCULATION�S) � � � ` � � � <br /> r _A r � .(t �- � ... y .rv . v +� - F;k r s � F f, �.v t �'.. . <br /> -� t t ��, ,� ,.BASED OF�;;'. 2002.S`rATE STATLJ�;• r� �_�x fi ,.�:,�-�b��1-k � <br /> ❑ .Yes,this secrion applies � <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> r 1. Does not require modification to electrical or gas service. � <br /> � { 2. Has a total cost of$500.00 or less;excludine the cost of the fixture or appliance: and <br /> - : " � 3. Is improved,installed or replaced by the homeowner or licensed contractor. -, <br /> - Skip next secrion,if this applies; Cost of Pernrit $ 15.00 <br /> � State Surcharge $ .50 <br /> ' �. Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> • � " w.�- 'i V -'4 :.. . . <br /> .���`���`;��';�-�EERMIT��EE CALCTJLA'�ION(S)�-v?JOB`S OVER,�500 00'��`�� �;�`,;,'��� ., <br /> If above does not apply;follow guidelines below: <br /> ' 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> � `�_ <br /> t �;_��,(� , ' x.0125$ <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) <br /> � x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> _ 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ � * CON'I'RACT PRICE or JOB COST means the actual or esrimated dollar amount charged for the <br /> permitted 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 fumished 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 pernut fee piuposes. In the evenf 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 /> ��- � .'_��__MECHANIGAI;PERMIT-APPLICATION:AGREEMENT�,`:�.`��:� .. ,,R ;;- <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 /> �J , � f <br /> � �/� � � � <br /> Applicant's Signature: i' � Date: <br /> // - � �-- � `� <br /> 3 <br /> � <br />