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PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STA"rUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or a�pliance 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; excludin�;the cost of the fixture or appliance: and <br /> 3. Is improved, instal(ed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT�FEE CALCULATION(S)—JOBS QVER$500.00 � <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT FRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �3o�tic� c� X .o��s � .��aC� <br /> (contract price) (minimum$50.00) <br /> 2. ST,a"rE SURCHARGG � �f/ <br /> f7" ✓D�� � x .0005 $ �" 1� <br /> (contrac[pricc) <br /> 3. POS���1GE& HANDLING (Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �3 �� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any �naterial, 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 o�� the <br /> amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract. <br /> � MECHANICAL PERMIT AP�PLICATION AGREEMENT' � <br /> The undersigncd hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, an�1 certifies that all statements made on this application are complete, true and <br /> correct. <br /> , <br /> Applicant's Signature: �C/y" �-- Date: _� — / ��� <br /> Reset Form <br /> , <br /> � <br />