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�, . <br /> P�RMIT FL,F CAI,CULATIC)N(S) <br /> BASED OFF - 2Q(12 S'I'A'I'F STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or applia�ce 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;excluding 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, ifthis applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PLRMIT FEE CALCULATION(S) -JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of�35.00) <br /> 2�Zq - o� X .oi2s $ 35 .c� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> oc � b <br /> Z� �L°1 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) � ��' �b <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 fumished 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. [n 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�PPLICATION`AGREEMENT <br /> Tl�e 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: � � Date: � �� � 1 'Q �o <br /> v <br /> Rese# Form <br /> _ 3 <br />