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� • f <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> � Yes,this section applies <br /> The replacernent of a R�si ential fixtute Or a(1Dl.�ce that t�►eets all three of the following tequirements: <br /> l. Does not require moditicalion to eleca-ica]or gas service. <br /> 2. Has a total cost of$5�0.�0 or less;exe udin�the cost of the fixttue or appliance�an.� <br /> 3. Is improved,installe�or rep3aced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ }5.�� <br /> Statc Surcharge $—�a� <br /> Mail-In Fee{If Applicable) $ 2.�0 <br /> Totai Permit Fe� $ <br /> PERMIT FEE CALCULATION S —JOBS OVER$500.00 <br /> lf above does not apply;follow guidelines below: <br /> 1. CONT1tACT PR10E *is 1.25%of contract prica with a(Minimum F'ee of$SO.QO) <br /> q � � (� x.0125$ , � <br /> (contrsct pnCc) (mininwm S50.00) <br /> 2. STATE SiJitCHARGE ��� �� I�,� � <br /> — x.0005 $ <br /> (contTact price) <br /> i, POSTAGE&I.T_ANDLING(Only on Mail-In Applications) $ <br /> 2.�� <br /> d. TOTAU PERMTT FEE(Add Lines 1-3 Above} $ � a�'`�� <br /> ■ * CONTRACT PItICE or JOB COST means the actual or estimatexi dollar amount char�ed for the <br /> permitted work including materials, labor,profit,and other t�xed costs. It is the amount to be charged <br /> to the �ustomer for the work done. If any material; equipment,labor or instaliations are furnished by <br /> tlie ow�ner,tenant or any other party',t!�►e reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purpuses. In the event that thcre is a dispute on the <br /> amount of the job cost,the City may request the submission of a signed capy of the actual contract. <br /> MECHANICAL PERMIT APpLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit; aarees to do alti <br /> work in stcict accordance �'�f at�statementsem de�on this pplication areticomple ee t^,tet�of <br /> Minnesota, and certifies tha <br /> correct, <br /> ��� ���5 <br /> Applicant's Signatur <br /> 3 <br /> g�d eb£�80 5 6 Ol adb' <br />