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A . <br /> :#! <br /> ti; <br /> i. <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 /> ;�� <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less; excluding 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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: � <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) �z <br /> >,� <br /> a <br /> /1�(�) �" x .0125 $ ' <br /> :,.,, <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50) <br /> x .0005 $ <br /> (contract price) (minimum$.50) ;<� <br /> 3. Postage and Handlin�(Only mail-in applications) $ 1.50 � <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, y� <br /> equipment,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items °s' <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'ob cost the Cit ma re uest the submission of a si ed co '�'' <br /> J � Y Y 9 gn py of the actual contract. <br /> "5 <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 /> .,� <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 /> a� <br /> /- � <br /> Applicant's Signature: � � Date: ��Y' a`� � <br /> ;,a <br /> ';;i <br /> Approved By: Date: �` <br /> ';� <br /> 3 ;:� <br /> , <br /> t ;: <br /> , -'> <br /> „- <br /> ; <br /> _ . _ . ..z... ,.�..:, <br />