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PERMIT FEE CALCUL.ATION(S) <br /> BASED OFF -�002 STATE STATUE <br /> � Yes,fliis section applies <br /> Thc rcpincemcnt ol a Residenliai listure or ap�pliance that mu ts all Lhrcc ol lhc lollo�-ving requirements: <br /> 1. Does not require modiTication to electrical or gas service. <br /> 2. Flas a total cost ol$�(x).UO or less;excludinQ tl►e cost of the tistL�re ur appliance:and <br /> 3. Is improved,installed or replaced by the homcotivner or licensed contractor. <br /> Skip nest section,if tkus applies; Cost of Yem�it $ 15.00 <br /> Slatc Surcharge $ 50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Totul Permit Fee $ <br /> PERMiT FEE CALCULATION(S)—JOBS C)VER$S�O.t)0 <br /> IY above cloes not appl�;lollo�v guidelines below: <br /> 1. CONTRACT PRiCE * is 1.25%of contract price with a(Minimum Fee ot 550.00) <br /> J�� �� �.0125$ /S. �� <br /> (contiaclprice) (minitnum$50.00) <br /> 2. STATE SURCHARGE "*Add the State I31dg Code Div. Surcharge(111inimum I�'ee of 5.50) <br /> x.00US $ i �� <br /> (contractpricc) (minimum S .50) <br /> 3. POS"fAUG 8i I IANllLING((?nly on Mai1-In llpplicalions) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Abovc) � <br /> /,S��S l� <br /> ■ * CONTRACT PRICF. or 70R COST means the acttkll or estimated dolllr amount charged for the <br /> pennitted��ork including materials,labar,proi7t,and other tiaed costs. It is the aniotuit to be charged <br /> to the customer for the work done. If am�material, equipment, labor or installations are fumished b` <br /> the o��ner, tenant or am�other part��, the reasonable market��alue ot such items must be added to the <br /> cstimated cost or contract price for permit fee ptuposes. ln the evcnt that there is a dispute on the <br /> amount of the job cost, the Lity mati� request the submission of a signed copv of the actual contract. <br /> ■ **'l�he STn'1�L SURCI�i�11tGE is .000�of the Building llepartuient at(952)2�9-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> T'lie undcrsigned hereby applies to the Cit�� for issuance of a Mechanical Permit, agrees to do all <br /> ��ork in strict accordance with the ordinances of the Cin and the re�zlations of die State of <br /> Minnesota, and certi("tes that all stateme�lts made on tllis apptication are complete, true and <br /> conect. <br /> / <br /> � <br /> Applicant's Signature: ���� Date: ����� ����� <br /> / <br /> Reset Form <br /> 3 <br />