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3 <br /> � PERMIT FEE CALCULATION(S) � � � <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or a�pliance 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;excludine the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 <br /> [f above does not apply; follow guidelines below: <br /> 1. CONTRACT PR[CE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ��; <br /> IC�(�CJ�,� x .0125 $ 5� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$5.00) <br /> ����.! �,.. <br /> X .000s $ .-r�. -- <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> �<� <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ �^] <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted 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 owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In 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 times the Contract Price or a minimum of$5.00. <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 /> correct. <br /> / __. <br /> Applicant's Signature: 'L� Date: /� rZ� -1 � <br /> Reset Form 3 <br />