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• � <br /> PERNIIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or appliance 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; excludinQ 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 $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> 5�� ��,� <br /> X .o12s � <br /> (contract price) (minimurri�35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .501 <br /> x .0005 $ � �� <br /> (con[ract price) (nunimum$ .50) <br /> i <br /> 3. Posta�e and Handlin� (O�ily rnail-i�i applicatio�:s) � 1.50 <br /> �. TOTAL PER�IIT FEE (Add lines 1-3 above) � �� -�� <br /> 'CONTRAC"1'PKICE or JOB COS7�means the actual or estimated dollar amount charged for[he perrnitted work includin� <br /> materials,lnbor,profit,and other tixed costs. lt is the amount to bi;charged to the customer for thc work done. [f any matcrial, <br /> equipment, labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such i[etns <br /> must be added ro the estimared cost or contract price for permit fee purposes. In the event that there is a dispute on the amuu;,i u: <br /> thejob cost,the City may request the submission of a signed copy of the actual contract. <br /> ""The S"CATE SURCHARGE is.000� of the contract price under�1,000,000 or 5.50-whichever is greater.For valuutior�uvc: <br /> S 1,000,000 call the Department of Inspectional Services for the price. <br /> The und�rsigned hereby applies ro the Ciry for issuancc of a Mechanical Permit,agrees to do all work in strict accordance��ith <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on ti�i5 <br /> application are comple[e,true and co�rect. <br /> Applicant's Signature: �" �0�� � 1�-� Date: <br /> Approved By: Date: <br /> 3 <br />