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, , . � <br /> PERMIT FEE CALCULATION(S) <br /> 'BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,diis 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;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 $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)'—JOBS OVER$500:00 ��'� - <br /> � <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> �d', c9a0 x.0125� �J.�� <br /> (contract pnce) (minimum S3�.00) <br /> 2. STATE SURCH:IRGE ** Add the State Bld� Code Div. SurcharQe(�iinimum Fee of S.>�l <br /> x .0005 $ 3�.01J <br /> (contrsct price) (;ninimum� .50) <br /> 3. POSTAGE &HANDLING(Only on Mail-In Applications} $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���5 . s� <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted 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 pernut fee ptuposes. 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) 249-4600 for the price. <br /> MECHAIVICAL PERMIT>APPLICATIOI�AGREEIvIENT ,: .. _ <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: � � s r Date: <br /> 3 <br />