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. ' <br /> � ' PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Ycs,this section a�plies <br /> The replacement of a Residential frxture or 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$500.00 or less;excludinQ 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 Surcharbe $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> FERMIT FEE CALCULATION(S)—JOBS�OVER �500.00 � � <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$35.00) <br /> i—, G� �U <br /> ����� x.0125$ J <br /> (contract pricc) (minimum$3�.00) <br /> 2. STATF,SURCHARGE ** Add the State Bldg Code Div. Surcharge('�tinimum Fec ot�.50) <br /> �� _ - <br /> , � L�� <br /> X .000s s <br /> --_ ------__. _ _-��-- -- <br /> - ____ <br /> (contract pricc) (min�mum$ .50) <br /> 3. POSTAGL&I-IANDLING (Only on Mail-In Applications) $ 1.50 <br /> � <br /> 4. TOTAL PERMIT FF,E(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, 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 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)249-46O0 for the price. <br /> MECHAI�TICAL PERMIT APPLICATION AGREEMENT <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 ot' 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 /> �� <br /> Applicant's Signature:� � Date: � U ��l��i <br /> Reset Form <br /> 3 <br />