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—�.—.— . <br /> PERNIIT FEE CALCULATION{S} <br /> BASED OFF -2002 STATE ST.ATUE <br /> ❑ Yes,this section applies <br /> The replacement ofa Residential fixture or appliance that meets all three ofthe following requirements: <br /> 1. Does not require moditication to elzctrical or gas sen�ice. <br /> 2. Has a total cost of$5�0.04 or less;e:ccludina the cost of the fixture or appliance:and <br /> 3. Is improved, installed or replaced by the liomeowner or Eicensed contractor. <br /> Skip nexrt section,if this applies; Cost of Pem�it $ I S.GO <br /> State S�ucharee $ 5.00 <br /> Mail-In Fee(lf Applicable) $ 2.00 <br /> Total Permit Fee � <br /> PERMIT FEE CFILCULATION(S)—JOBS QVER$500.0� <br /> If above does not apply;foilow g«idelines below: <br /> 1. CO�TRA,CT PWCE *is 1.25%of contract price�+•ith a(Minimum Fee of$50.00) <br /> isc� x.o��5� �� <br /> (conUact priccl (minimum$SQ.00) <br /> 2. STATf SIiRCHARGE �—��' ' <br /> . x.D005 $ <br /> (contract pnce) <br /> 3. POSTAGR&HA?�IDLING(Only on Mail-�n Applications) $ 2.00 <br /> 4. TOTAL PERtiLIT FEE(Add Lines 1-3 Above) $ ��-��� <br /> • * CONTRACT PRICE or J�R COST means the actual or estimated dollar amount charged for the <br /> permitted wor;c including materia',s, labor,profit,and other fixed costs. It is the amount to be charged <br /> to che customer for the work do�ie_ lf any material, equipment, labor or instaliations are furnished by <br /> the o�vner, tenant or ar.y other parhi,the reasonable market value of such items must be added to the <br /> estimated cost or contract price for pe�nit fee purposes. In the event tnat there is a dispute on the <br /> amount of ttie job cost,ihe City may request the submission of a signed copy of the actual contract. <br /> � MECHANICAL PERMIT APPLICATION AGREEMENT <br /> Thc undersigned hereb}' applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> I�9innesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> �� �� � <br /> Applicant's Signature: � � Date: � �� ��� � <br /> 3 <br /> i <br /> £ d ��gZ-gg�-�gg oi}on.i�suo��uo}sn�.�a}.�e� <br />