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! <br /> � PL��1r�1� F�,� c�LcuL�TloN�s> <br /> � BASED OFF��- 2002 STATE STAZ�UE �� <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> l. 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 fixhu-e or appliance: and <br /> 3. (s improved, installed or replaeed by the homeowner or licensed contractor. <br /> Skip next section, if this applies, Cost of Permit $ I5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ I.50 <br /> Total Permit Fee � <br /> � � PERMIT�'�:EB CAZCTIL'ATI�hr(S)-��JOBS`OVER$500,00 <br /> [f above does not apply; follo�v guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price�vith a(Minimum Fee of$35.00) <br /> ���/ x .0125 $_ �� % <br /> (contract price) (minimuin$35 00) <br /> 2. STATE SURCHARGE ** Add he State Bldg Code Div. Surcharge(Mininn�m f ic uf$.i0) <br /> 1���"��' % <br /> � x .0005 $__�------ <br /> (contract price) (minimum$ SO) <br /> 3. POSTAGE&HANDLING(Only on Mail-[n Applications) $ 1.50 <br /> v <br /> 4. TOTAL PERII�IIT rEE(Add Lines I-3 Above) $ ���� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted ���ork 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 marl<et value of such items must be added Co the <br /> estimated cost or contract price for pennit fee purposes. ln 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 regu(ations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> � <br /> Applicant's Signature: Date: ����� <br /> Reset Form <br /> 3 <br />