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r <br /> , � ' <br /> • _ ' PERMIT FEE CALCULATION(S) <br /> ' BASED OFF - 2002 STATE STATLTE <br /> ❑ Yes, this section applies <br /> The replacement of a Residential fixture or appliance that meets all tluee of the following requirements: <br /> 1. Does not require modification to electrical or gas seivice. <br /> 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner ar licensed conh�actor. <br /> Skip next section, if this applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> i PERNIIT FEE CALCL?LATION(S)—JOBS OVER$500.00 �, <br /> If above does not a�ply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$35.0� <br /> � �� �� x.0125 $ ! �,O ' � � <br /> (co t act price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> / <br /> x.0005 $ � � �� <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> � � t1 � V <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pemutted work 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 ov�nier, tenant or any other party, the reasonable market value of such items must be added to the <br /> eSt1ri13Ted COST OT CO11tT'aCt pT1Ce IOI PCIITllI i�Z j7U1"�u�C�. iii the ever�t i�I3t ii1CiC iS S u15j�Ute OII .i1C <br /> amount of the job cost, the City may request the submission of a signed copy of the actual conhact. <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 regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> conect. <br /> �pplicaiit's Signature: �-����✓4�- l Date: OCT � � �DD� _ <br /> / <br /> 3 <br />