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1 � <br /> M <br /> ; PERR'�IIT FEE C�LCliL�TIO�(Sj <br /> ' B:�SED OFF - 2002 STATE STATliE <br /> ❑ 1'es, th�s section applies <br /> The rzplacement of a Residential firture or appliance that meets all three of the following requirements: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of��00.00 or less; excludinQ the cost of the tixture or appliancz: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit � 1�.00 <br /> State Surchar�e $ .�0 <br /> [�1ail-In Fee([f.�pplicable) $ 1.�0 <br /> Total Permit Fee � <br /> � PER�IIT FEE C�ALCULATION(S) —JOBS OVER $�00.00 <br /> If abo�e does not apply; follow�uid�lines below: <br /> 1. COVTR_�CT PRICE * is 1.2�°io of contract price with a(:�Iinimum Fee of$3�.00) <br /> (��Cj�•L� x .01�� $�� I • 3 � <br /> (contract price) (minimum�35.00) <br /> 2. ST.a�['E SL RCH.aRGE ** Add the Stat� Bldg Code Di�. Surcharge(ltinimum Fee of�,.50) <br /> ���� ` � x .0005 $ �• �S <br /> � (concract pnce) (minimum� .50) <br /> 3. POS-['�GE& HANDLI:�IG(Only on i�tail-In Applicationsj $ 1.�0 <br /> 4. TOTAL PER��I[T EEE (:�dd Lines 1-3 Above) � � ` <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted work includina materials, labor, profit, and other fixed costs. It is the amount to be char;ed <br /> to the customer for the work done. [f 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 pnce for permit fee purposes. [n the event that there is a dispute on the <br /> amount of the job cost, the Ciry may request the submission of a si�ned copy of the actual contract. <br /> ■ ** The ST.aTE SLRCH.�RGE is .000� of the Building Department at(9�?) 249-�1600 for the pnce. <br /> MECI�ANICAL PERi'VIIT APPLICAT'ION AGREEVIENT <br /> T'he undersigned hereby applies to the City for issuance of a Mechanical Permit, a�rees to do all <br /> �vork in strict accordance with the ordinances of the City and the regulations of the State of <br /> �Iinnesota, and certiFes that all statements made on this application are complete, true and <br /> correct. <br /> <applicant's Signature: �� �atz: �� �-� `L'�� <br /> , <br /> � <br />