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, • <br /> � <br /> � '� PEIZ�tIT' FEE CALCULAI'ION(S) <br /> � B�SED OFF - 2002 STATE STATUE <br /> ❑ Yes, this section app(ies <br /> The repiacement of a R�sidential fixturz or ap�iance that meets ail three of the following requirement;: <br /> 1. Does not require modification to electncal or gas service. <br /> 2. Has a total cost of��00.00 or(ess; excludinQ the cost of the fixture or appliance: and <br /> 3. [s improved, installed or repfaced by the homeowner or licensed contractor. <br /> Skip next section, it'this app(ies; Cost of Permit $ 1�.00 <br /> State Surchar�e � .�0 <br /> i�tail-In Fee(If.applicable) � I.�O <br /> Total Permit Fee � <br /> PER.�IIT FEE C�LCULATION(S) -JOBS OVER ��00.00 , <br /> � If abo��e does ao�apply; follow�uidelines below: <br /> l. CO�iTR.�C'T PRICE * is 1.2�4�0 0[contract pnce with a(�(inimum Fee of�3�.00) <br /> p``,Q�� " x.O 1>j � � — <br /> �co�ltract pnce) (minimum 33�00) <br /> 2. ST.aTE SLRCH.aRGE ** �dd the State Bld�Code Div. Surchar�e (�Iinimum Fee of�.�0) <br /> ��(r �� x .000� � • � <br /> (con�ract pnce) �minimum� .�0) <br /> 3. POST'�GE & E-I:a�iDLItiG(Onl��on Ntail-[n _�pplications) � 1.�0 <br /> 4. TOT.aL PER.�IIT EEE (.�dd Lines I-3 Above) $ �� ' � <br /> • �` CONTRACT PE�ICE or JOB COST means the actuai or estimated do(lar amount char�ed for the <br /> permitted work includin� matenals, labor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any matzrial, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable markzt value of such items must be added to the <br /> estimated cost or contract pnce for permit fee purposes. [n the zvznt that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a si;ned copy of the actual contract. <br /> � **The ST.-�TE SURCH.aRGE i� .000� of the Building Department at(9�3)249-d600 for the pnce. <br /> N�ECI�ANICAL PER�b1IT APPLICAT'IOIv` AGREEVIENT <br /> -['he undersigned hereby applies to the City for issuance of a i�lechanical Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the re�ulations of the State of <br /> �Iinnesota, and certifies that all statements made on this applica[ion are complete, true and <br /> correct. <br /> \ - I -0 � <br /> .app(icant's Si�nature: Date: � <br /> , <br /> � <br />