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� PEi�MIT FI.E CALCULATION(S) � <br /> � BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section appties <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 $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee � <br /> FERMIT FEE CALCULATION S --JOBS QVER $500.00 <br /> lf above does not apply;follow guidelines below: <br /> I. CONTRACT PRICE * is 125%of contract price with a(Minimum Fee of$50.00) <br /> 1��OVU x.0125 $ 2�2$ <br /> (contract price) (minimum�SOAO) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(�9inimum�ee of�5.00) <br /> I�',Uc�c� x.0005 $ �1 <br /> (contract price) (minimum�5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 _ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ Z36 <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. [f 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 ST.ATE SURCHARGF,is.0005 times the Contract Price or a minimum of$5.00. <br /> MECHANICAL PERMIT APPLECATTON AGREEM�NT <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 certities that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: � Date: �'�-�� <br /> i cf, <br /> Reset Farr� 3 <br />