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PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: <br /> l. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 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 $ I.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 � <br /> tf above does not apply; follow guidelinec below: <br /> 1. CONTRACT PRICE * is 1?5%of contract price with a(Minimum Fee of$50.00) <br /> � <br /> 3515 L� X .oizs $ 50 � <br /> (contract pricc) (minimum$$0.00) <br /> 2. STATE SURCHARGE uJ <br /> 3 S7 5 x .0005 $ I � �$ <br /> � (contract pricc) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �3 �$ <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 /> MECHANICAL 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 of the City and the regulations of the State of <br /> Minnesota, and certifies that al tatements made o this application are coinplete, true and <br /> correct. <br /> i <br /> A licant's Si nature: L- � � Date: � — \ ' <br /> �r � v` <br /> i <br /> 3 <br />