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.r • <br /> � y <br /> PERNII'�'FEE C�LC�JLATION(S) <br /> 2002 State Statute ❑ �es'I'his Sec�ion�,.pplies <br /> The repIacement 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��00.00 or less; excludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Pemut $ 1�.00 <br /> State Surcharge � .Sp <br /> Mail-In Fee $ 1.50 <br /> Ii above does not apply, follow buidelines belew: <br /> �. �o�aa�a-a�t �'a-se�� is .0125% of job ���ith a'���n��g�at� 3�er; ��'{�3�S.Q��}1 <br /> `--' ,� . <br /> ��� �', C�o x .0125 S_ -_�.j ��__� <br /> (contrac±pricc) (minimum�35.00) <br /> 2. �tate Surck��roe. ** Add the State Building Code Division a;��irrirraum �'ee�f�(� SOl <br /> � %`��. �� � x .0005 $ , �� <br /> (contract�price) (minimum$ .50) <br /> 3. Pc�s�a�re a�c: ��ndiin� (Qnly rncril-in ap�licatioras) � �_ <br /> 4. 'I,��'�.L F�;�.���' �'�� (.�dd lines 1-3 above) � ��_ -v <br /> � <br /> *CONTRACT PRICE or JOB COST means the actual or Pstirnat�d dollar amount charged for the permitted work including <br /> maTerials,labor,profit,and other fixed costs. It is the amount to be char�ed to the customer for the u�ork done. Tf any�material, <br /> equipment, labor,or ir�sYallaCion is furnished by the owner,tenai�t or any other party the reasonabie market value of such items <br /> must be added to the estimated cost or convact price for permit fee purposes. In the event that there is a dispute on the amount of <br /> thejob cost,the City may request the submission or a si�ned copy of the actual contract. <br /> � **Tne STAT�SliRC1-IARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over <br /> �1,00O,OOQ call the Department of Inspectional Services for the price. <br /> The undersiened hereby applies to the City for issuance of a Mechanical Pern�it,agrees to do all work in strict accordance«�ith <br /> the ordinances of the City and the regulations of the Minncsota State Building Code, and certifies that al)statements made on this <br /> aoplication are complete,true and correct. <br /> �_,--� i <br /> / <br /> Applicant's Sigrrature: ��,�,.(� ����,�-,�,— Date: _ �!- -�7.-<<} � <br /> Approved By: � <br /> Date: <br /> 3 � <br />