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.,:. . , . , . __ F ,� <br /> � . �,�� <br /> PERMIT FEE CALCULATION(S) <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; excludine 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 Pernut $ 15.00 `� <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> .; <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) �; <br /> t: <br /> ��, ��-O ox .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> � <br /> x .0005 $ <br /> (contract price) (minimum$.50) <br /> 3. Postage and Handlin� (O�tly mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> ':� <br /> *CONTRACT PRICE or JOB COST means the actua]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 furnished by the owner,tenant or any other party the reasonable market value of such items :Y <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 /> Applicant's Signature: Date: ���� 4� � <br /> �� <br /> Approved By: Date: <br /> 3 <br /> :_.; <br /> Y:: <br /> , � . � . . . � � . � f ' .. � <br /> � . . �. . ' � . . , . . � � � � �� <br /> � ` . , � . . . . . . . � �'� , � ..�j � <br /> ' .. . � - . _ ' ' . � <br />' . � � . ' � . � . � �.. � � � � � .. � . �.� . ' . ;:.; <br /> . ..i . . � .. . . - . � .: - <br /> . . . � � , . . �,. . . .. . . . . . .,.� ..�. .�.` � .. ' � . <br /> . . . . '��� . .. � �� ., k : - ' a.43. <br />