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• , <br /> ' ���� PERMIT FEE CALCULATION(S) ' <br /> ' BASED OFF -2002 STATE STATUE ' <br /> ❑ Yes, this secrion applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to elecirical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludin�the cost of the fi�ture 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 $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S) -JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. COI�'TRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ��vv .o0 X .o�2s $ <br /> (contracC price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x .0005 � <br /> (contract pnce) � (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMTT FEE(Add Lines 1-3 Above) $ <br /> • * COI��TRACT PRICE or JOB COST means the actual or estimated dollar amount chareed for the <br /> permitted work including materials, labar,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 puiposes. 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 actual contract. <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 that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: ��' Date: �`�1 �� T <br /> 3 <br />