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� <br /> � PERMIT FEE CALCULATION(S} <br /> BASED OFF -2002 STAT'E 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;excludinQ the cost of the tixture 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 $ 15.00 <br /> State Surcharge $ 50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION S —JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CON'TRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.W) <br /> � <br /> � �C <br /> '- ��(`�'�. �a� X .oizs$ � �• , , <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE *"Add the State Bldg Code Div. Surcharge(Minimum Fce of 5.50) <br /> x.0005 $ ' .��.-' <br /> (conlract price) (minimum$ .50) <br /> 3. POSTAGF,&1IANDLING((hily on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines l-3 Above) � ��� ' ��� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount eharged for the <br /> permitted work including materials, labor,profit,and other Tixed 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 par[y, the reasonable market value of such items must be added to the <br /> cstunated cost or contract price for permit Yee piuposes 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 Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Perniit, 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 /> /, �r�� � ' - .. � � <br /> � ' .`' <br /> t � �_ �_7 <br /> Applicant's Signatur�:�'������� �/L�C ��Ff-'/�.�� � � '� Date: <br /> /✓Y' <br /> Reset Form <br /> 3 <br />