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<br /> PERMIT FEE CALCULATION(S) �`��
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<br /> 2002 State Statute ❑ Yes This Section Applies '
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<br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements:
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<br /> 1) Does not require modification to electrical or gas service. ':�
<br /> 2) Has a total cost of$500.00 or less; excludinQ the cost of the fixture or appliance: -
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<br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. ;;'�
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<br /> Skip next section; Cost of Pernut $ 15.00 �
<br /> State Surcharge $ .50 .�
<br /> Iv1ai1-In Fee $ 1.SU ��„;
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<br /> If above does not apply, follow guidelines below: ,��
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<br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) ';�,
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<br /> �� x .0125 $ __ ��. �� �
<br /> (contract price) (minimum$35.00) °`�
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<br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) �
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<br /> � x .0005 $ ,�c- ��
<br /> (contract price) (minimum$.50)
<br /> 3. Postage and Handlin�(Only mail-in applications) $ 1.50 °'�
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<br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �� � � ,��
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<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&xed costs.It is the amount to be charged to the customer for the work done.If any material,
<br /> equipment,labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items
<br /> must be added to the estimated cost or contract price for permit fee purposes. [n the event that there is a dispute on the amount of
<br /> the job cost,the City may request the submission of a signed copy of the actual contract. :�
<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 /> 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 co ct'
<br /> Applicant's Signature: � Date: S'�""� , µ
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<br /> Approved By: Date: .�
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