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. ' '' <br /> PEFtMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has 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 homeo�vner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. eontract Price* is .012�% of job with a Minimum Fee of($35.00) <br /> /��,',(_;,,��� x .0125 $ �'; ,. ��: <br /> on[ract price) (minimum�,35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> �lj�J"` �>,:� x .0005 $ ;'�-. <br /> (contract price) (minimum� .50) <br /> 3. PostaQe and Handlin� (O�aly mail-iri applicatiorzs) $ �� <br /> 4. TOTAL PE1L'VIIT FEE (Add lines 1-3 above) � r��-�3� <br /> *CONTRACT PRICE or JOB COST means the actuai or estimated dollar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of sucti items <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 /> thejob cost,the City may request the submission of a siJned copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$I,000,000 or$.50-whichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pern�it,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and c�ect. <br /> Applicant's Signature: �_ ���-�� �1� ��-�" Date: ��/J-o� <br /> Approved By; Date: <br /> � 3 <br />