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� . � <br /> • , <br /> PERMiT FEE CALCULATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> � Yes,this section applies <br /> The replacement of a Residential fixture ar appliance that meets all three of the following requirements: <br /> 1. Does not require modificarion to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludin�the cost of the fixture or appliance: and � <br /> 3. Is 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 /> PERMIT FEE CALCUL�TI(Jl�T S -JOBS OVER$54(�.tl� ' <br /> lf above does not apply; follow guidclines below: <br /> 1. CONTRACT PRICE * is l.25%of contract price with a(Minimum Fee of$50.00) <br /> �`)�3 5: c.�C� X .oi2s $ � �O � � � <br /> (contract price) (minimum$50.00) <br /> 2. STATE SLIRCHARGE ** Add the State Bldg Code Div. Surcharge(Mioimum Fee of�5.00) <br /> ���3 S, c�C� X .000s � � � � � <br /> (contract price) (minimum$5.00) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <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 <br /> permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labar 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 /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is .0005 ti�nes the Contract Price or a minimum of�5.00. <br /> MECHANICAL PERMIT APPLIC;ATION AGREEMENT <br /> The undersigned hereby applies to the City far 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 are complete, true and <br /> correct. <br /> � - - t� �3 �o�C� <br /> Applicant's Signature: Date: <br /> Reset Form 3 <br />