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Page 3 of 3 <br /> PER_MIT FEE CALCULATION <br /> 1. 1.25%of Contract Price* or M__inimum Fee�$35.00 <br /> �� � <br /> (Contract Price) c����� x A125 $ �� • ��i <br /> 2. State_Surchar�e. ** Add the State Building Code Division <br /> Surcharge to each permit. (Contract Price) ��� IJIJ x.0005 $ I �'`J�"1 or$.SD <br /> 3. P_o_stage and Handling(Only mail-in applications) $�0 <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 to <br /> the customer for the work done. If any material, equipment, labor, or installation are furnished by the <br /> owner,tenant or any other party the reasonable market value of such items must be added to the estimated <br /> cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job <br /> 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 <br /> greater. For valuations over$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 Permit,agrees to do all work in <br /> strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, <br /> and certifies that all statem s m' e on this appiication are complete,true and correct. <br /> Applicant's Signature: - �—�---C' Date: �� ���/� <br /> Approved By: Date: <br />