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PERMIT FEE CALCULATION(S) <br /> � � � BAS�D (JFF - 2002 STATE STATUE � <br /> I <br /> ❑ Yes,tliis section applies <br /> The replacement of a Residential fixture or appliance that meets all tlu•ee of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; excluding the cost of the fixhire or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed conh�actor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> � Total Permit Fee $ <br /> ' ° PERMIT FEE CALCULATION(S)=70BS 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 /> ,7� aJ <br /> /!/1 i l/vV �� G>�i <br /> x .0125 $ ��j�� `'" <br /> — (contractprice) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> l, <br /> ��/C'�� ��� x .0005 $ L� <br /> (contract pnce) (minimum$5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> �� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ���'f <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <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 cosi, the City may request the submission of a signed copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is .0005 tunes the Contract Price or a minunum of$5.00. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby 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 /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. • <br /> Applicant's Signature: Date: ��+ 3f-'/v� <br /> 3 <br />