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[ . <br /> � �� PERMIT FEE CALCULA'I'ION(S} � � � � <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ 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;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, if this applies; Cost of Permit $ I 5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> �� PERMiT FEE CALCULA'I'�ION{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 /> Z�� x.0125 $ �j rj � 3 <br /> (contract pricc) (minimum$35.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> �J <br /> Z� 7 J x .0005 $ � ` `I � <br /> (contract price) (minimum$ .�0) <br /> 3. POSTAGE& HANDL[NG(Only on Mail-ln Applications) $ 1.50 <br /> _ �� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �� <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 furnished 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. In 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 Quilding Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATI4N AGREEMENT <br /> The 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 tatements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: ate: S ' � g �0�- <br /> Reset Form ' <br /> , <br /> J <br />