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PE1��IT �'EE CALCUL�TIQN(S) <br /> 2002 State Statut� ❑ �'es This Seetion AppIies <br /> The replacement of a Residential fixture or a�pliance that meets all three of the foIlowing requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) IIas a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.�0 <br /> If above does�7ot apply, follow guideIines belo„�: <br /> 1. �ontz•aet Pe-ace* is .0125% �f job with a il�iiiimum Fec of(�35.00) <br /> �`�• `_'_) $ _`�,�� <br /> X .�12$ <br /> (contract price) (minimum�35.00) <br /> 2. �tate Surchar�e. *r A.dd the State.Building Code Divisio�l a Minimum Fee of($ .54) <br /> ���-> � .oaos � . �� <br /> (contract price) (nur�imum$ .50) <br /> 3. PQstage and ��ndlir�g (Ortdy fnail-irr ap�licatio�:�s) $ <br /> � <br /> 4. 'FO'I'AI. P�'I�'VI�T �']E� (Add]ines 1-3 above) $ ��� :j?' <br /> *COTJTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pertnitted work including <br /> materials,labor,profit,and other fixed costs. It is the amount to be cha��ged to the customer for the work done. If any material, <br /> equipment, labor,or instailation is furnished by the o�vner,te�ant or any other party the reasonable market value of such itcros <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a si;ned copy of the actual contract. <br /> **1'he STA7'L SURC�IARGE is.00US of the contract price undcr$1,000,Q00 or$.50-whichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Scrvices for the price. <br /> 7�he undersigned hereby applies to the City for issuance of a Mechanical Pcrn�it,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota Scate Building Code,and certifies that al]statements made on this <br /> application are complete,true and correct. <br /> Applicant's Si ature: � !�����= -— � � � � <br /> -- — � � Date: ��- `'� <br /> Approvcd By: _ Date: <br /> 3 ' <br />