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^�,�5 ,�,y, �y�ti;�a �ti 4_` �'�RMIT FEE,�CALCULATION(S) ;3�,` ' ,' � , ti` 5,�4 ��,,, ::� <br /> , `„`;';� , � ;�,��"i� ';?4 y f';BASED.OFE=�2002:'STATE STATUE�, � 4��..-='� �:`� <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�as service. <br /> 2. Has a total cost of$500.00 or less; excludino the cost of the fixture or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Ship next section, if this applies, Cost of Permit $ I 5.00 <br /> State Surchar�e $ .50 <br /> Mail-In Fee(If Applicable) � 1.�0 <br /> Total Permit Fee $ <br /> - - PERMIT FEE CALCUI;ATION S —JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> l. CONTR.aCT PRICE * is .?�°b of contract price���ith a(1linimum Fee of 53�.00) <br /> �l��`� _ <br /> . .oi,� s �`�. � <br /> (contract pnce) (minimum 5��_00) <br /> 2. STATE St!RCH.aRGE ** Add the State Bld��Code Div. Surchar_e (�tinimum Fcc ofS.SO) <br /> Od <br /> x .000� S � <br /> (contract price) (minimum S 501 <br /> 3. POSTAGE & HA;�'DLING (Onl�� on tilail-In Applications) S 1.50 <br /> -1. TOTAL PER�IIT FEE (.�dd Lines 1-3 Above) S I •�� <br /> • * CONTfZ�,CT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted worh includin� materials, (abor, profit, and other fixed costs. lt is the amount to be char�ed <br /> to the customer for the work done. [f 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(9�2)249-4600 for the price. <br /> - : ' MECI-IANICAL PERMIT APPLICATION AGREEMENT <br /> The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, a<=rees to do all <br /> ���ork in strict accordance �vith the ordinances of the City and the re«ulations of the State of <br /> Minnesota, and�certifies hat all stateme ade on this application are complete, true and <br /> correct. <br /> I / \ <br /> � � <br /> Applicant's Si�ns e: Date: " <br /> � D � <br /> �;� Reset Form .. � . <br /> . `�','.. . .. . ..... . . <br /> � <br />