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• � � � �� � � � � PERMIT FF,F,CALCULt�TiC)N(S) <br /> �� � � �� BASED�OFF�—2002 S"['ATE��ST�TUE� � � <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;excludin�the cost of the fixture or appliance: and <br /> 3. ls 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)—J(JBS OVER$500.00' —� <br /> If above does not apply; follow guidelines below: <br /> I. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> x.0125 $ <br /> � <br /> (contract pric ) ninimum$35 00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> S4 X .000s $ . .� <br /> (contract pnce) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <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, tne City may request tne 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 /> ,.� �, o,,.m�a.,C,. .,,.' , -' , �'N ����11���'��'�.,��iS�... ��`,�i, ,. ..������ 1,�. �k � �+�` <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 statements ma this application are complete, true and <br /> correct. <br /> � <br /> Applicant's Signature: ��� � �� <br /> � <br /> Reset Form ��;� �_ <br /> � � ��:�.y��� <br /> 3 <br />