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. � <br /> � <br /> �t,�,�y ��,y, �y��ti s�f ��t� ,,�,ERMIT.FEE,�CALC.UI,ATION(S);,� `4 ;4} ,� f� '-� �;� , ;�� <br /> '..:;':� � t,.,�;s'��.,-� f� `=,=�BASED OFF,:.2002,STATE STATIJE ,,.:,-=..._u�� ��-� �•- <br /> ❑ Yes,this section applies <br /> The replacement of a Residential firture 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 appiiance: 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 Surchar;e S 50 <br /> Mail-In Fee(If Applicable) S 1.�0 <br /> Total Pcrmit Fee S <br /> � PERMIT FEE CALCUI;ATION(S) -JOBS OVER $500.00 <br /> If above does not apply; follow ouidelines belo�v: <br /> l. COtiTRaCT PRICE * is 1.��4a of contract price with a (tilinimu Fee of 53�.00) <br /> � � .01�� 3� � <br /> / (con�rac;pnc.� �minimum��=00) <br /> 2. ST.-�TE SL'RCH.-�RGE " ,�,dd th: Staie Bld� Code Di�. Surchar�e (�[inimum r��ors.-n> <br /> IC�'"'' x .000� S • lL V <br /> (contract pnce) (m�nimum 5 :01 <br /> 3. POST.-�GE g H.-��'DLING (Onl� on tilail-(n .�ppiications) S 1.�0 <br /> � <br /> -t. TOTAL PER��IIT FEE (.�dd Lines 1-3 �,bove) S ' <br /> • ' CONTR.aCT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted �vork includin� materials, labor, profit, and other fixed costs. It is the amount to be char�ed <br /> to the customer for the work done. If an� material, equipment, labor or installations are fumished by <br /> the owner, tenan[ or any other party, the reasonable market value of such items must be added ro the <br /> estimated cost or contract price for permit fee purposes. In the e��ent that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copv of the actual contract. <br /> • ** The STATE SURCHARGE is .0005 of the Buiiding Department at (9�?) �=�9--1600 for the price. <br /> � _- � ivIECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersiened hereby applies to the City for issuance of a Nlechanical Permit, a�rees to do zll <br /> �vork in strict accor nce 'th the ordinance e Citv and the re�ulations of the Sta[e of <br /> �vtinnesota, and rtifies that II statement ma o this application are complete, true and <br /> correct. <br /> Applicant's Si�n ure: Date: I <br /> ,� Reset Form <br /> .. . j <br />