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� <br /> __. __ _ __- --- _ _ <br /> � - -—— - PERMIT 1�I;E CAC,CiJLATION(S) <br /> BASED OFF - 2002 STATE STATUF <br /> ❑ Yes,this scction applies <br /> The replacement of a Residential�xture or appliance that meets all three 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;excludin�the cost of the fixture 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) $ 1.50 <br /> Total Permit Fee $ <br /> ��� PERI�IIT`I'EE CALCULATION(S)-30135 4 JER nSGG.OG <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> 30,350.00 x .O125 $ 37938 <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> 30,350.00 x .0005 $ �5'�8 <br /> (contractprice) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 396.06 <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 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 the submission of a signed copy of the actual contract. <br /> ■ **The STATE SURCHARGE is .0005 of the Building Departmcnt at(952)249-4600 for the price. <br /> --____—.. _ __.__.---- _.l_. _ ._ _ _ — <br /> � MF,CHANIC�IL PERMIT APPLICATION AGREEMFNT <br /> The undcrsigned hereby applies to the City for issuance of a Mcchanical 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 /> ! �ti 05/OS/08 <br /> Applicant's Signature:� �,�...��,��. �h�>YL� Date: <br /> Reset Form <br /> 3 <br />