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PER��IIT FEE CA.LCULATION(S) <br /> 2002 State Statute ❑ Yes This 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��00.00 or less; eYcludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeo�vner or licensed contractor. <br /> Skip next section; Cost of Permit � 1�.00 <br /> Sia±e SurcharQe S .�0 <br /> �Iaii-In Fee S L�0 <br /> If above does not apply, follow guidelines belo�v: ' <br /> 1. Contract Price* is .012�°% of job �vzth a vlinimum Fee of(�3�.001 <br /> i, ,�40 Y .ol�� s %a 7 <G <br /> (contract pricc) (minimum S��.CO) <br /> =. State SurcharQe. ** Add the State BuiidinQ Code Division a �Iinimum Fee of(S .�01 <br /> /S dov � .000� S 7. 5� <br /> (contrac:pric��� �r.-�inimum 5 .:�)) <br /> �. Posta?e and Handlin� (Oftly IIIQII-Z)t QIJ�JIICCIIZOIIS� � ; S� <br /> 4. TOT:�L PER�IIT FEE (Add lines 1-3 above) � /�( -5 0 <br /> *CONTR4CT PRICE or JOB COST means the actual or estimated dollar amount char;ed for the permitted work inc;udin� <br /> materials,labor,profit,and other fixed costs. It is the amount to be char�ed to the customer for the work done. If any material, <br /> equipment, labor,or instalia[ion is furnished by the owner,tenant or any other party the reasonaole market 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 /> the job cost,the Ciry may request the submission of a signed copy of the actual contract. <br /> '*The STATE SLRCHARGE is.000�of the contract price under S 1,000,000 or�.50-whichever is�reater. For valuations over <br /> S 1,000,000 call the Department of Inspectional Services for the price. <br /> The undersiened hereby applies to the City for issuance of a;�techanical Permit,a�rees to do all work in s�,ic:accordance with <br /> the ordinances of the City and the regulations of the�tinnesota State Buildin�Code,and certifies that all statements made on this <br /> application are complete,true an rrect. <br /> Applicant's Sig-nature: Date: ��3- 0 3 <br /> �pproved Bv: Date: <br /> J <br />