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�� � PEI�MIT ��EE CA;.,CLILATION(S} � � � � � <br /> BASED QFF -?00? STATE STATt1E <br /> ❑ 1"es,this section appiie� <br /> Tne replacement oi�a Residential fixture or appliance that meets afl three ofthe following requireinents: <br /> 1. Does not require modification to electrical or<>as service. <br /> ''. Flas a total cost of��00.00 or less:excludin<_the cost of the fixture or appliance: and <br /> =. I� improved, installed or replaced b� the homeowner or licensed contractor. <br /> Skip neat section,if this applies; Cost of Permit 5 1�.00 <br /> State Surchar��e S 5.00 <br /> Mail-In Fee(IfApplicable) S '?.00 <br /> Total Permit Fee $ <br /> � � � PERIVIIT FEE GALCULATION(S -JOBS�OVER��$500.00 � <br /> lf above does not apply:follow guidelines belo��: <br /> 1. CONTRACT PWCE * is 1?5%of contract price with a(Minimum Fee of$50.00) <br /> i �', �� h .oi�s $ ��C� . op <br /> (contract price) (minimum�50.00) <br /> ?. STATE SURCHARGE �( 1� {� <br /> p� v x .0005 $ � I D <br /> (contract price) <br /> 3. POSTAGE&HANDLWG(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��, � � � <br /> ■ * C'ONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work includin� materials, labor, profit, and other fixed costs. It is the amount to be chareed <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 /> esti�nated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amou��t of the job cost, the City ma�� request the s�ib�nission of a signed copy of the actual contract. <br /> MECHANICAL PERMIT APPLICATION:AGREEMENT <br /> The undersigned hereb�� applies to the Citv for issuance of a Mechanical 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, and certifies that all statements made on this application ai-e complete, true and <br /> correct. <br /> Applicanrs Signature: Date: <br /> Reset Form <br /> , <br /> � <br />