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rERMIT FEE CALCULATION(S) <br /> BASED OFF - ?002 STATE �TATUE <br /> ❑ Yes,this section applies <br /> 'The replacement of a Residen[ial tixture or appliance that meets al l thrce of thc f°ollowing requirements: <br /> 1. Does not rec�uire modification to elcctrical or gas sc,�rvice. <br /> 2. Has a total cost of'�SOfl.00 or less;exc]udinQ the cost of the fixture or appliance: and <br /> 3. Is improved,installc;d or replac;ed by the homeowner or licenseci cvntractor. <br /> Skip next sec;tion,if this applies; Cost of Petrnit $ 15.00 <br /> State Surch��rge $ .50 <br /> Mail-In Fec(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JQBS OVER $500.00 <br /> If above does not apply;follow guidclines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price�vith a(Minimum Fee of�50.00) <br /> �dt��{��,�C'^'� � x .0125 $ i ��� �(`� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State F31dg Caie Div. Surcharge(Minimum Fee of 5.50) <br /> 7,� :, l t�`; � .0005 $ `� , L.�. <br /> (contraot price) (minimum$ .50) <br /> 3. POS"['AUE&HANI7LINU((hily on Mail-In Applica.tions) $ --ZTJ�— <br /> 4. TOTAL PERMIT F`EE(Add Lines 1-3 Above) $ 1�v�i� �� <br /> ■ * CON`I'RACT' PR1CI; or JOB COS'I' means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,pmfit, and other fixed cosis. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations ure fumished hy <br /> the owner, tenant or any other party, the reasonable market value of such items mu�t be added to the <br /> estimated cost or contract price for peimit fee purposes_ I�n the event tYiat there is a dispute on the <br /> amount of the job cost, the City may request the submi�.siom of a signed copy of the actual contract. <br /> ■ *#71ie S'CATE SURCI IAI2GE is.(X�5 of the Building Department at(952)249-4600 for the price. <br /> MECHA1vICAL PERMIT APPLICA'170N AGRErMENT � <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance w�ith lhc ordinances of the Cit�y 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 /> i' <br /> Applicant's Si nature: � ,1��'�.!,;, ��''`� � � ��f.� ' Date: S� ��' ����.: <br /> L __ _� ; 1 , � _. <br /> Reset Form <br /> 3 <br />