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� <br /> PERIVIIT FEE CALCULATION(S) <br /> BASED OFI�� - 2002 STATE STATUE <br /> ❑ Yes,t11is sectioil applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following rec�uirements: <br /> 1. Does not require modification to elcctrical or gas service. <br /> 2. I-Ias 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 Surcliarge $ .50 <br /> Mail-Ii�Fee(If Applicable) $ l.50 <br /> � Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 <br /> [f above does not apply; follow guidelincs below: <br /> 1. CONTRACT PRICP', *is 1.25%of conttact price with a(Minimum Fee of$35.00) <br /> �� �� � x .0125 $ <br /> (contract price) (minimum 535.00) <br /> 2. STATE SURCHARGG ** Add the Statc Bldg Code Div. Surcharge(Minimum Fee of�a.50) <br /> x .0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In A�plications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) � $ <br /> � * CONTRACT PRICE or JOB COST means the actual or estimated dollar an�ount cl�arged for tl�e <br /> pen»ittcd work including materials, laUor, profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the �vorl< done. If any material, equipment, labor or installations are furnished by <br /> the owner, ten�nt or any othcr 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 rec�uest tlle submission of a signed copy of the actual coi�tract. <br /> � **The STATE SURCHARGG is .0005 ofthe Building Dcpaml�ent at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMF,NT � <br /> 'Tlle undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> WUt'K iti SiPiCi acCGivaiiCZ wlii3 iiii; OiCiiiiuiiCcS vi iii8 �li'y' aI'iu iil� I2�uiaiivi�S vi iiii: �ini�, vf <br /> Minnesota, and certifies that all statements made on this application are con�plete, true and <br /> correc±. <br /> � <br /> Applicant's Signature: ,,, Q� ,v,q,,, Date: Z— 7 d � <br /> 3 <br />