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.� � <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the followin�requirements: <br /> 1)�l� Does not require modification to electrical or gas ser�zce. <br /> 2) Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) <br /> ��?�(>U`� s .O 125 � <br /> (contract price) (rr.inimum�35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> x .000� $ <br /> (contract price) (minimum$.50) <br /> 3. Postage and Handling (Only mail-i�: applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chareed for the permitted w�ork including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done.If any material, <br /> equipment,labor,or installation is furnished by the owner,teaant or any other party thz reasonable market�21ue of such items <br /> must be added to the estimated cost or contract price for pemut fee purposes. In the e�ent that there is a dis�ute on the amount of <br /> 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 contract price under S 1,000,000 or 5.50-whichever is grea[er_For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a\fechanical Permit,agrees to do all work in strct accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all stszements made on this <br /> application are complete,true and conecG----� <br /> � <br /> Applicant's Signature: ;�����������z%�%2� Date: f � �J � / <br /> � <br /> Approved By: Date: <br /> 3 <br />