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� ' <br /> (—�� PERMIT FEE CALCULATtON(S) <br /> � BAS�D OFF - 2002 STATE STATUE <br /> ❑ Yes, this secrion 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 tota] cost of$500.00 or less; excludin�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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PER11�1'1'FEE �AI:CULATION(S)-JOBS OVER;$SO�:QO �' � <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 /> ��'� �� �� x.0125 $ ��� J\/ <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> x.0005 $ �v <br /> (contract price) (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 matenals, 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 Building Department at(952)249-4600 for the price. <br /> MECHA1vICAL PERMIT APPL�CATION AGREEMENT <br /> The undersigned hereby applies to the City far issuance of a Mechanical Permit, agrees to do all <br /> work in strict accardance with the ordin ces of the City and the regulations of the State of <br /> Minnesota, and certifies that all state ts made on this application are complete, true and <br /> correct. <br /> ��� �� ,,� % �� —'(� <br /> Applicant's Signature: � � � � Date: � �� " � <br /> 3 <br />