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! <br /> PERiV1IT 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 three of the follo«�in�requirzments: <br /> 1. Does not require modification to elech-ical or gas seivice: <br /> 2. Has a total cost of 5�00.00 or less; excludin�the cost of the fixfure 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 $ 15.00 <br /> State Svrcharge $ ,�p <br /> � � I�iail-In Fee(If Applicable) � � � 1.50 <br /> Total Pes•mit Fee � <br /> � PERMIT FEE CALCULl�TION(S)—70BS �VER $SCO 00 <br /> If above does not apply; follo«�Quidelines beio�v: <br /> l. CONTRACT PRICE * is 1.2�%of contract price�vith a(Mininium Fee of 535.00) <br /> � 3 � A.0�2,� 3a�. a� <br /> (c ntract pnce) �minimum�3�.Q0) <br /> 2. STATE SURCIi�RGE **Add the State Bldg Code Div. Surcharge(liinimum Fee of S.SO) <br /> o?l�3�� ' x .000s � !3. `? <br /> (co�ztract price) (minimum 5 .50) <br /> 3. POSTAGE&:HAI�TDLI1�iG(OnIy on Mail-In Applications) $ 1.�0 <br /> 4. TOTAL PERAIIT FEE(Add Lines 1-3 Above) ' � �y3, %� <br /> ° �` CONTRACT PRICE or JOB COST means the achia] or estimated dollar an7ount charged for the <br /> pennitted�vork includin�materials, labor,profit, and other fixed coscs. It is the amount to be charged <br /> to the customer for the �vork done. If any material, equipmeut, Iabor or instatlations are furnished by <br /> the ow��er, tenant or any other party, the reasonable market value of such items mtist be added to the <br /> estiinated cost or contract price for peinut fee purposes. In the event tl�at there is a dispute on the <br /> aniount of the job cost, the City may request the submission af a signed copy of the actual confract. <br /> ° ^"The STATE SURCHARGE is A005 of the Building Department at(952)249-4600 for the price. <br /> MECHANZCAL PEIZNIIT APPLICATION 4GREEiVIENT <br /> The undersigned hereby applies to the Citv for issuance of a Mechanical Permit; a�ees to do all <br /> ���ork in strict aceordance ���ith the ordir�ances of the City and the resulations of the State of <br /> Minnesota, and certifies thai all statements made on this applicatian are complete, true and <br /> ` . con-ect. <br /> Applicant's Signature: �:,2� <br /> Date: '��/�� <br /> � <br /> � <br />