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From:KLEVE HEATING AND AC INC 952 941 7240 11l20/2014 11 :06 #373 P.0041004 <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATCTE <br /> ❑ Yes,this scction appties <br /> Thc rcplacement of a Residential fixtwe or aunliance t6at meets all thrce of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a t tal s of$500.00 or less;�xcIuding the cost of the fixtwe or appliance:and <br /> 3. Is improved,installcd or replaccd by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Pemvt $ 15.00 <br /> State Surcharge S 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee S <br /> PERMIx fiEE CALCULATIUN S —JOBS O 5 .00 <br /> ]f above does not apply;follow guidelines below: <br /> 1. CONT1tACT PRICE 'is 1.25%of contract price with a(Mtaimum Fee of SS0.00) <br /> °�so� X.oizs$ llb• 1� <br /> (��n�t�u� ��om ssa.00) <br /> 2. STATE SURCIiARGE ��t� u,.�� <br /> V x.0005 S �� <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-Tn Applications) S 2.00 <br /> 4. TOTAL PERMIT FEE{Add Lines 1-3 Above) S I�S '� <br /> ■ " CONTRACT PRTCE or JOB CO3T means the actual or estimated dollar amount chazged for the <br /> permitted woric inctuding 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 fumished by <br /> the owner,tenant or aay other party,the reasonable market value of such items must be added to the <br /> estisnated cost or contract price for permit fee pw�posts. In the event that thete is a dispute on the <br /> amount of the job cost,the City,may request the subtnission of a signed copy of the actual contract. <br /> MECHANICAL PERMIT APPY:,ICATIQN AG � � <br /> The undersigned bereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in sirict accordance with the ordinances of the City and the regtilations of the State of <br /> Minnesota, and certifies that all statements made on this applicadon are complete, trve and <br /> correct. <br /> Applicant's Signa . Date: �� � <br /> 3 <br />