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'i <br /> � . � <br /> � <br /> , � .. .. � .. � . , . . . , __ t:. � . . <br /> . .. _. *- , 'e � <br /> , . <br /> , ' . .. '. -., -�. <br /> , . , a, . . ._ ,. . . <br /> . .; ,. . . , -: .. u.�.�. .,,.. . .. . � . .,� , .-,, <br /> PER'VIIT FEE CALCULATION(Sl <br /> 2002 State Statute ❑ 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) Has 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 /> � <br /> kt <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 ;�; <br /> Mail-In Fee $ 1.50 ;� <br /> �.: <br /> Y <br /> If above does not apply, follow guidelines below: <br /> ,ti <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> 3 oC�O X .o12s $ 3 ?� S� <br /> (contract price) (minimum�35.00) <br /> 2. State SurcharEe. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> ;� <br /> 3 ov u X .000s $ I . s"O <br /> (contract price) (minimum$.50) <br /> 3. Postage and Handlin� (Only mail-in applications) $ 1.50 h <br /> ;a <br /> a <br /> � <br /> ,,y <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � � � '�� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done.If any material, <br /> equipment,labor,or installation is fumished 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 signed copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over ;:� <br /> $1,000,000 call the Department of Inspectional Services for the price. � <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with ''� <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this `� <br /> application are complete,true and correct. � <br /> � <br /> � <br /> � <br /> Applicant's Signature: Date:�•���O„3 � <br /> �: <br /> Approved By: Date: i� <br /> � <br /> 3 <br /> r, <br /> F � �`� ` 4 >� <br /> � � � � � � � ���� � : <br />�.� �- � � � � � ; a` � � ' � �� � r� <br /> . � . . . . . . �, r. <br />