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� <br /> � PERMIT FEE CALCULATION(S) <br /> � BASED OFF — 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or�pliance that meets all tluee of the following requirements: '�;'. <br /> ��� <br /> ,� <br /> 1. Does not require modification to elecri�ical 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 conh�actor. <br /> Skip next section, if this applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-Iu Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JOBS OVER $500.00 ` <br /> :;a <br /> If above does not apply; follow guidelines below: <br /> 1. COIVTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$35.00) � <br /> ,r- gz <br /> 7 �G�''`�� x.0125 $ .� <br /> (contract price) (minimum$3�.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) ':�}'. <br /> x.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> f? <br /> ■ * COI�TTR.ACT PRICE or JOB COST means the acttial or estimated dollar amount charged for the ``� <br /> perrr�itted work including materials, labor,profit, and other fixed costs. It is the amount to be charged ��n <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 /> estimated cost or contract price for pernut fee puiposes. In the event that there is a dispute on the '.'� <br /> amount of the job cost, the City may request the submission of a sigiled copy of the actual conh�act. <br /> � ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT "`` <br /> The undersigned hereby applies to the City 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 are complete, true and y�1 <br /> correct. "� <br /> `;� <br /> /' „ l � < <br /> �v . <br /> Applicant's Signature: �� � � �� Date: � � o� ,,,� <br /> '.vi <br /> 'f; <br /> 'r_�. <br /> 3 � <br /> � <br /> _ , . . � _..�� A.,.� <br />