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. � , <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> Thc re��laceinent of a Residential fi�ture or ap�liance that meets all three of the following requirements: <br /> L Does not reyuire modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the tixtwe 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 Permit $ 15.00 <br /> State Surcharge $ �.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Pcrmit Fce � <br /> PERMIT FEE CALCULATION S —JOBS OVER $500.00 <br /> if�above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�50.00) <br /> � � ���..(�h� x.0125$ 5�•�� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE �j <br /> 't" � �C��-�� x.0005 $ s J�O <br /> (contract price) <br /> 3. POSTAGE &I IANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� ,�j� <br /> • * CONTRACI� PRICFi or J013 COST means the actual or estimated dollar amount charged for the <br /> permitted work including matenals, labor,profit, and other fised costs. It is the amount to be charged <br /> to the customer for the work done. If any matenal, equipmcnt, labor or installations are fumished 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 ttie submission of a signed copy of the actual contract. <br /> MECHA1vICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereb� applies to the City for issuance of a Mecha.nical Pennit, agrees to do all <br /> «ork in strict accordance ��ith the ordinances of the Cit} and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true a�id <br /> correct. <br /> Applicant-s Signature: �� �� Date: �l—��l�� <br /> Reset Form <br /> 3 <br />