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t <br /> � � PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all tluee of the following requirements: <br /> 1. Does not require modification to elech�ical or gas service. <br /> 2. Has a total cost of$500.00 or less; exchidin�the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed conh-actar. <br /> Skip next section, if this applies; Cost of Pernut $ 1�.00 <br /> State Surcharge $ .50 <br /> Mail-Ii7 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 conhact price with a(Minimum Fee of$35.00) <br /> f oo Q . p o X.oi2s � <br /> (contract price) (minimum S35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLIIvTG(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Liiles 1-3 Above) $ <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pemutted 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 materiai, 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 pernut fee puiposes. 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 tl�e price. <br /> MECHA1vICAL PERMIT APPLICATION AGREEMENT <br /> The tmdel-signed hereby applies to the Ciry for issuance of a Mechanical Pernlit, 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: !l Date: 7 � 0 <br /> 3 <br />