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PERMIT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE S"�A�(,UE <br /> ❑ 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. Ha� a total cost of$500.00 or less; excl�idin�the cost of the fixture or appliance: and <br /> 3. ]s 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 /> � _NLRMIT FEE CALCULATION(S)—JOBS OVER $500.00 � � <br /> If above does nut apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ��yL�G�.�2? x .0125 $ ��/_�7�) <br /> (contract price) (minimum$50.00) <br /> 2. s�:a rE suacH.aacE — � <br /> �`i��.��� X .000s � �a <br /> (contract price) <br /> 3. POS"I AGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TO�I�:�L PERMIT FEE(Add Lines I-3 Above) $ 7 �',�� <br /> ■ * CONTR:A('T PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted ���orl: including materials, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the custoin�r for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner, i�nant or any other party, the reasonable market value of such items must be added to the <br /> estimated cust or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of th� job cost, the City may request the submission of a signed copy of the actual contract. <br /> MECHANICAL PERMIT APPLICATION AGREEM��NT <br /> , <br /> The undersignecl hereby applies to the City for issuance of a Mechanicai 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, anci certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Si��nature: ��..{ /�C�'+aC� Date: <br /> Reset Form <br /> 3 <br />