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�� �i n j r� �► � �� �� Dl r�-��� 2 <br /> � <br /> � <br /> � <br /> . . <br /> PERMI7' FEE'CA�LCUL�1`I�l�ON(S)�� ��� ° <br /> I_ �_' ��� BASED OFF -�2002_STr1'���_E STATL�E , <br /> ❑ Yes,this section applies <br /> "i'he replacement of a Residential fixtin-e or�tppliance th�t meets all three c�f the following requirements: <br /> I Does not require modification to electrica) or�as scrvice. <br /> 2. Has a total cost of$500.00 or less;e�ciudinc the co�t of the fixture or appliance: and <br /> 3. is im��roved, installed ��r replaced hy the homeowner c�r licensed contrartor. <br /> SI<ip next section, if this applies; Cost of 1'ermii � �� ��� <br /> State Surcharge $ .50 <br /> vlail-in Fee(Ifnpplicable) � 1.5� <br /> 'Total Permit Fce � <br /> I_ : _ 'PER'.vIIT FEE_CQLCL;LATION(S)— .1Of�S_OVER $500.00 <br /> ICabove does not apply; Pollo��o�guidelines below: <br /> I. CONTRACT PRICE " is 1.25%of conlract price�vith a {,Minimum Fee of$35.00) <br /> �� � Lv <br /> -- `: .�12.5$__ /, ! <br /> (coniract pricc) (minimum X3�00) -- <br /> 'l. STATE SLJRCI�ARGE "`* i�dd thc State Bid�Code Div. Surcharge(Min;mum Fcc of�SO) <br /> � <br /> __ ----x .00OS � � / <br /> — --- <br /> ----- <br /> cauvnct��ricc) (minimum$ i0) �--- <br /> 3. POS'I'AGF.,&HANDLINC'r(Only on Maif-In Applications) $__ 1.50 <br /> a� <br /> 4. TOTAL PT'RMIT I+FE(Add L,ines I-3 ilb�ve) � <br /> ^ � CONTRACT PRICE or .IOB COS�' means the actiial or escimated dollar amount charged for the <br /> pennitted work includin� materials, labor, profit, and other fixed costs. !t is the amount io be charged <br /> to the customer for the �uorl: done. Ifany m�terial, equipment, labor or installations are furnished by <br /> the o�iner, tenant or any other party, the reasonable mai9<et value ol'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 /> amowrt of the.job cost, the C'ity may request the submissinn of a si<�ned copy of the actual contr�ct. <br /> " "`The STATF.SURCHARGF_, is .UOOS ofthe Buildinc;Department at(952)249-4600 for the price. <br /> I__ MECHAN]CAL PERI�'(IT Af'PLTCATION ,4GREEMENT <br /> The undersi�ned herehy applies i� the City irn� issuance of a Mechanical Permit, agrees to do all <br /> ��vorl: in strict accorclance with tl�e ordinances o�f the Ciey and the rcguiatioi�s of the State of <br /> Ylinnesota, and certifies that a11 stateme�its made �n thi� ap��lication are comp(ete, true 811CI <br /> correct_ � � <br /> / <br /> �pplicant's Sig��ature� �� , �� � � �� <br /> ��_ _��t'Z���te:—� � __ <br /> Sf t f�lC�sn <br /> <,. . . , <br /> � <br /> _> <br />