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� PERMIT FEE CALCULATION(S) <br /> BASED OFF- 2002 STATE STATUE <br /> � Yes,this section applies <br /> The replacement of a Residecrtial fixture or anvliance that meets al1 three of the fiollowing requirements: <br /> l. Does �t require modilication to electrical or gas ser�ice. <br /> 2. Has a total cost of�500.00 or less;excludin�the cost of the fixture or appliance� and <br /> 3. Is improved,installed or replaced by the homeowner or Iicensed contractor. <br /> Skip ne:�t section,if this applies; Cost of Permit $ 15. 0 <br /> State Swcharge $— S.OQ <br /> Mait-In Fee tIf Applicable) $ 2 00 <br /> Total Permit Fee S <br /> PERMIT FEE CALCULATION S —JO�S OVER$SOOAO <br /> If above does not apply;follow guidelines below: <br /> I. COI�iTRACT PR10E * is 1.25%of contract ice���th a�Ylioimum Fee of S50.�0} <br /> �� ✓"" x.0125$ <br /> (contYact prlce) �/ (minimam�0_OOL <br /> 2. STATF SLJRCHA1tGE �!'� x.OQQS $ <br /> (cpnt�t price) <br /> 3. POSTAGE�HANDLTNG (�nly on Mai1-in Applications) <br /> $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � <br /> ■ * CONTRACT PRICE or JOB C�ST means the actual or estimatied dallar amount charged for the <br /> pe.rmitted wor�including materials, labor,profit, and othex fis:ed costs. it is ti�e amount to be chargcd <br /> to the customer Por the wrork done. If any material,equipment,labor or installations are furnished by <br /> the owner,tenant or any other paity, the reasonable market va�ue o£such items must be added to the <br /> m untof the}ob costathe Cctyfmay r q est the submission of a s'gned copyeof the act aftconiract <br /> MECHANICAL PERNIIT APPLICATION AGREETVIENT <br /> The undersigned hereby applies to the City for iasuance of a Mechanjcal Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the teguiations of the State of <br /> Minnesota, and eertihes that all stateme�ts made on this application are complete, true and <br /> correct. <br /> r� � � -�°�� <br /> Date: <br /> Applicant's Signatu . <br /> v` <br /> 3 <br /> g•d ��E�80 5 L 0 L adb' <br />