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f T <br /> r <br /> PER.IVIIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ 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; excludine the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit � 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> '-'c— 1. <br /> ,��—ECX%V"� x .0125 S� �-������� <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> �"l�`I—x-0005 � I� �Jc�) <br /> (contract price) (minimum$.50) <br /> 3. Postaae and Handlina (Only mail-in applications) S 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) � �7�� �� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the�-ork done.If any material, <br /> equipment,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$I,000,000 or$.50-whichever is�eater.For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the pnce. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in sh-ict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> '� -� '/ <br /> Applicant's Signature: ��'�� Date: �' � � C. <br /> Approved By: Date: <br /> 3 <br />