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a � <br /> �_�'y �}���, ����ti,s�� ti�<<+PERIv1IT.FEE CALCLTLATION(S) .� ' � ;`} � ..,.�:, -` a � <br /> � Y ���_r . . . . .e-s-t e ' � : r_�:�� �. � �� � <br /> . ' , i.-��.;s'+;.,,',�.. `�_,�aB'ASED OFF ,2002:STATE STATUE „ �-� �h�.:ry� <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the follo�ving 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 fixture or appliance: and <br /> 3. [s improved, installed or replaced by the homeo�vner or licensed contractor. <br /> Skip next section, if this applies; Cost of Pernlit S 1�.00 <br /> State Surchar,e S .50 <br /> Mail-In Fee(If Applicable) S 1.�0 <br /> Total Permit Fee S <br /> - PERI'�IIT FEE CALCUI.:ATION(S) —JOBS OVER $�00.00 <br /> (f aoove does not app(y; follow�uidelines below: <br /> l. CO\TR_�CT PRICE * is 1.��°b of contract pric:: ��ith a(llinimum Fee of 53�.00) <br /> �L� �� ,� . .o�,; s � � . � <br /> icon::a�:pnc�, � l�:c:;:,�,:,n�__uu) <br /> ?. ST.-�TE SL'RCH.-�RGE " .-�,�.�1 �he Sfa[: BI�1_ Cocie Div. Surchar�e (�Iinimum Fcc ofS.�f)) <br /> l�, � Q� <br /> — `� O . � .000� S �• S� <br /> (conuac:pnc�) (min:mum� `G1 <br /> �. POST.-�GE w H.-�,\'DLI\G (Onl� en tilail-In :�pplications) S 1.�� <br /> �. TOT�L PER�IIT FEE (.add Lin�s I-3 .-�bo��ej S���_�� _ <br /> • ` CO�'TR.�,CT PfZICt or JOB COST m�.ns the ac:u�l or estimated dol;ar amounc �h:rsed for th� <br /> permitted �vork includin� materals, labor, profit, and other fixed costs. It is the amount to be cnare�d <br /> to the customer for tkle w�rk done. lf an} material, equipment, labor or installations are furnished b� <br /> the owner, tenant or any other party, the re�sonable marke[ value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. [n the e��ent that there is a dispute on the <br /> amount o�the job cost, the City may request the submission of a si��ned copy of the actual contract. <br /> • ** The ST.ATE SURCHARGE is .000� of the Buildin« Department at(9��) 2�19--t6C0 for tfle pric�. <br /> �� � � - � : ��.��� MECHANICAL PERIvIIT APPLICATION AGREEMENT <br /> The undersigned he:eb�� applies to the Cit�.� for issuarc, of a ��I�chanical Permit, a�,rees ro do Zll <br /> �vor� in strict accordance �vith the ordinances of the Citv and tlle re�ulations of the St�te of <br /> Ivtinnesota, and c�at a!i statements made on this application are co;��plete, tru� and <br /> correct. �;� " � <br /> r <br /> A�plicant's Si�nature: �� Date: � � <br /> <' <br /> ,� Reset Form • , <br /> �. _ .. . .. . <br /> � <br />