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. ` <br /> . <br /> ;riw��. <br /> `� <br /> , ���'�1� f}n <br /> � th„� � `� <br /> r �/�� <br /> s�y <br /> PERMIT FEC CALCULATION{S) <br /> [3ASE?I)OF'F -2402 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture 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;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 section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> ��a=. �.;� ��; <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 3,300.00 x.0125$ � rj(�r�v <br /> (contractprice) (minim m$50.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div.Surcharge(Minimum Fee ofS.50) <br /> 3,300.00 x.0005 $ 1.65 <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � l� <br /> . <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work includine materials, labor,profit, and other fixed costs. It is the amount to he charged <br /> to the customer for the work done. If any material, equipment, labor or instaliations 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 Deparhnent at(952)249-4600 for the price. <br /> n� , r... . . ........ . . „__. � .(:2 <br /> 1 g�31 y.X��� - :�� �, 3,R�����l?��' <br /> • �. � �e . " ._. .' ��' '��;. <br /> �1��._ A: $#��.ct�a.`� 'es�-3#_, <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 /> Applicant's Signature: _ Date: 05/18/10 <br /> Reset Form <br /> 3 <br />