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r . „ <br /> �, PERRti�tIT FEE CALCULA-I'IO�(S) � <br /> ' B�SED OFF - 2002 ST:�TE ST:�TliE <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fi.rture or ap�liance that meets ail three oT the followin�requiremznts: <br /> l. Does not require modiEication to electncal or gas service. <br /> 2. Has a total cost of 5�00.00 or(ess; excludin�the cost o[�he tixture or appliance� and <br /> 3. fs improved, instalied or replaced by the homeownar or licensed contractor. <br /> Skip next section, if�his applies; Cost of Permit � 1�.00 <br /> State Surchar�e � .�0 <br /> �lail-In Fee�[f.�pplicable) � I.�O <br /> I'otal Permit Eee � <br /> PER�IIT FEE C�LCliLATIO�(Sj - JOBS 0�'ER��00.00 <br /> lf abo�,�e does not apply; follow guidelines below: <br /> 1. CO�TR,�CT PRICE * is 1.2�°�0 of contract pnc� with a(:�[inimum Eee of�3�.00) <br /> ���� . ���} .e.01?� � � � ` �� <br /> (contrac[pncej ^,inimum 33�00) <br /> 2. ST.aTE SCRCH�RCE ** .�dd the State Bldg Code Div. Surcharge(�(inimum Fee of�.50) <br /> ���J��.. U`� x .000� � l � �= <br /> �;�.;on�rsct pnce) (rninimum� �0) <br /> 3. POST:�GE & E{.�'�`DLI�G(Only on �Iail-In _�pplications) � 1.�0 <br /> 4. i'Oi'aL PER�t[T EEE (.add Lines l-3 :�bove) � � C..� ' �� <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted work includin� materials, labor, profit, and other Eixed costs. [t is the amount to be charged <br /> to the cuscomer for the work done. [f any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable markzt value of such items must be added to the <br /> zstimated cost or contract pnce for permit fee purposes. [n the evznt that there is a dispute on the <br /> amount of the job cost, the City mav request the submission of a si;ned copy of the actual contract. <br /> � ** The ST,-�TE SURCH.aRGE is.000� of the Building Department at(9�?)2�9-�600 for the pnce. <br /> MEC�IANICAL PERibtIT APPLICATION AGREE�/IENT � <br /> The undersigned hereby applies to the City for issuanc� of a tilzchanical Permit, agr�es to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> �Iinnesota, and certities that all �tatements made on this application ar� complete, true and <br /> correct. <br /> Applicant's Si�nature: ��``�� -_�� Date: �� �'�� <br /> , <br /> � <br />