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{� <br /> •� <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: I � <br /> 1. Does not require modification to electrical or gas service. �� <br /> 2. �-Ias a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: and <br /> 3. Is improved, installed 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 OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> V"� �5 J <br /> ��0� X .0125$ �j Q <br /> (contract price) (minimum$50.00) <br /> �,i, <br /> 2. STATE SURCHARGE ��' 3U I <br /> Z��U x .0005 $ � I � <br /> (contract price) 'i,3��. <br /> �. <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 r. <br /> �� <br /> 4. TOTAL PERMIT FEE(Add Lines l-3 Above) $ �}� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,pro�t, 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 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 /> MECHANICAL PERMIT APPLICATION AGREEMENT ' <br /> ; : <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all , <br /> work in strict accordance with t e ardinances f the y and the regulations of the State of <br /> Minnesota, and certifies that all tatements m de o t is application are complete, true and <br /> correct. � <br /> Applicant's Signature: � � `�� � z-- <br /> Reset Form <br /> 3 <br /> � �E <br /> :�� <br />