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r <br />� <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Appiies <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; excludin�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 $ I.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 /> ��u�.c�; x .0125 $ �:S QU <br /> (contract price) (minimum 535.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> �,�%���� x .0005 $ - f �� <br /> (contract price) (minimum$ .50) <br /> 3. Posta�e and Handlin� (Oiily rnail-iri c�pplications) $ -�,� <br /> 4. TOTAL PER'VIIT FEE (Add lines 1-3 above) $ ,��:�J— <br /> *CONTRACT PRICE or JOB COST means the actual or estimated do]lar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of sucti items <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> thejob cost,the City may request the submission of a signed copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Perniit,agrees to do a11 work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that alf statements made on this <br /> app(ication are complete,true and co t. <br /> i <br /> Applicant's Signature: '�c-�,:- ��, �.c. ,� ' Date: li L <br /> Approved By; I Date: <br /> 3 ' <br />