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� �. <br /> 1 <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fi�:ture or appliance that meets all tluee of the following requirernents: <br /> 1. Does not require modification to elecn-ical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed conhactor. <br /> Skip next section, if this applies; Cost of Peinut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ L50 <br /> Total Pernut Fee $ <br /> PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 <br /> If above does not apply; follo�e�guidelines below: <br /> l. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> .,��>.�"'�� x A125 $ <br /> (conh-act price) (minimum 535.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> S yn��`�'�' �:.000s $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERIVIIT FEE (Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST meaus the actual or estimated dollar amount charged for the <br /> pernutted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the custoiner for the work done. If any material, equipment, labor or installations are fuinished 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 puiposes. 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 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 Pernzit, 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 /> Applicant's Signature: �.L�,�r�.��" Date: S///���� <br /> � <br /> J <br />