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� , . <br /> PERIVIIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fiYture or appliance that meets all three of the follo�vina requirements: <br /> 1) Does not require modification to electrical or �as service. <br /> 2) Has a total cost of$500.00 or less; e�cludin�the cost of the fiYture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeo���ner or licensed contractor. <br /> Skip next section; Cost of Permit 5 1�.00 <br /> State Surchar�e � ,jp <br /> �fail-In Fee � 1.50 <br /> If above does not apply, follo�v auidelines below: <br /> 1. Co�tract Price* is .012�% of job with a llinimum Fee of(S3�.001 <br /> ��a,� QOC1 Y .01?� � p77�. <br /> (contract price) (minimum�3�.00) <br /> ?. State SurcharQe. x* Add the State Buildin�Code Division a i�iinimum Fee of(S .�Ql <br /> �a? ,.D�_Y .000s S // <br /> (contrac:pnce) (minimum� .:Ol <br /> 3. Postaae and Handlina (Onlv mail-ijr applicatio�rs) S l.�0 <br /> 4. TOTAL PERi1�IIT FEE (Add lir.es 1-3 above) , �8� sd <br /> 1 * CONTR?.CT PRICE or JOB COST means the actual or estimated doflar amount charoed for the permitted �vork includin� <br />� materials, labor,profit,and other fixed costs. It is the amount to be char�ed ro the customer for the work done. If anv material, <br /> equipment, labor,or installation is furnished by the o���ner,tenant or any other party the reasonable marke:value of such items <br /> must be added to the estimated cost or contract 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 of a signed copy of the actual contract. <br /> **The STATE SURCH.4FtGE is.000�of the contract price under$1,000,000 or 5.50-whichever is ereater. For valuations over <br /> �1,000,000 call the Deparcment of Inspectional Szrvices for the price. <br /> The undersi�ned hereby app(ies to the City for issuance of a�fechanical Permit,a�rees to do a11�vork in strict accordance�vith <br /> the ordinances of the City and the re�ulations af the I�tinnesota State Building Code,and certifles that all statements made on this <br /> application are complzte, true and correct. <br /> Applicant's SiQnature:� � �,�C Date: /'�"v2 <br /> Approved By: Date: <br /> 3 <br />