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PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or ap�liance that meets all three of the following requirements: <br /> 1. lloes not require modification to electncal or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixhue 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 Pennit $ 1�.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION S —JOBS OVER $500.00 <br /> If above does not apply; lollow�guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) <br /> ��`������ x .0125$ �j�)..Li7 <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> � 'r��L�.. ��C� x .0005 $ �,75 <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Ch71y on Mail-In Applications) $ 2.00 <br /> a. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �) �-7 � <br /> ■ * COI�iTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,profit,and other fi�:ed costs. It is the amount to be charged <br /> to the customer for the work done. If an_y matenal,equipment, labor or installations are furnished bv <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 /> MECHAMCAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to th� City for issua�ice of a Mechanical Permit, agrecs to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and cert�es that a11 statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signaturc: �������� Date: l'�v r �.�_ <br /> Reset Form <br /> 3 <br />