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PEIZII�IT �'EE �ALCUL4TION(S) <br /> 20(i2 State Statute ❑ �'es 'I'his Section Appiies <br /> The replacen�ent of a Residential fixture or appliance that meets all three of the foIlowing requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2} IIas a total cost of$500.00 or less; excludin� 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 $ I5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines belo�v: <br /> 1. Caa�tr�ct�'II-ice� is .0125% of job with a NFinimum Fee of($35.00) <br /> IJv�; �' � .0125 $ ��`� <br /> (contract price) (minimum�35.00) <br /> 2. State Surch�rae. ** A.dd the State Building Code Divisioi� a 11�Iinimum Fee of($ .50) <br /> �.��.�='�� x .0005 $ <;-�- <br /> contract price) (nunimum$ .50) <br /> 3. Postage and I�anddin� (�tidy mail-iii cr��lications� $ � <br /> 4. �'�'I'AL, �����IT �'1C� (Add lines 1-3 above) � -��S�— <br /> *CONTRACT PRICE or JOB COST means the actual or estimat�d dollar amount charged for[he permitted work includit�g <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the cusromer for the work done. If any material, <br /> equipment, fabor,or instaliation is furnished 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 si�ned copy of the actual contract. <br /> **1'he STA7'E SURC,fARGE is.0005 of the contract price under$1,000,000 or$SO-whichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the pricc. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all work in strict accordance with <br /> the ordinances of thc City and the regulations of the Minnesota State Building Code,and certifies that al]statements made on this <br /> application are complete,true and correct. <br /> —'� <br /> i� �� � <br /> Applicant's Sign`ature: -�¢—��],C,1,t.� L�� Date: �����-�i�- <br /> Approved By: � Date: <br /> 3 ! <br />