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� <br /> w <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixhzre or appliance that meets all three of the following requirements: <br /> 1. Does not require nlodification to electrical or gas seivice. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed conhactor. <br /> Skip next section, if tliis applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <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 connact price with a(Minimum Fee of$35.00) <br /> LoDDO. Bv _ X.oi2s $ <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge (Minimum Fee of�.50) <br /> x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) � <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted 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 ovv�ler, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimatea cost or contract price for permit iee pur�u�e�. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the aetual conh�act. <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <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 th t all statements made on this application are complete, h-ue and <br /> correct. <br /> / <br /> q �' L� <br /> Applicant's Signature: Date: '"( a�'� <br /> 3 <br />