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�'ERM�T FEE CALCULATION S <br /> 2002 State Statute ❑Ycs This Section Applyes <br /> The replacem�ent of a Residential�xture or ap�Iiance that meets all three of the following requirements: <br /> 1) Uoes not require modification to electrica[or gas setvice. <br /> 2) Has a total cost of$500.00 or less; excludin��the cost of the fixture or applianee: <br /> and <br /> 3) Is improvcd,installed or replaced by the hotxieowner or licensed eontractor. <br /> Skip next section; Cost of Permit � 15.00 <br /> State Surcharge$ .50 <br /> Mai1�In Fee $ 1.50 <br /> Zf above does z�ot apply,fvllow guidelines below: <br /> 1. Contract Price* is .OI25%of job with a Minimum Fee of �35.00 <br /> x _ol2s $ -3j' � <br /> (cantraot price) (minimum$35.00) <br /> 2. $tate S�rchar�e. ** Add tbe State Building Code D�vision a Minicttium Fee o� $.50 . <br /> .0005 $ ' �� <br /> (contract pcice) (minlmum�.50) <br /> 3.Posta�e and Handlin�(Only mail-in applications) $ ]_50 <br /> D� <br /> 4.TOTAL PE�tNIIT FEE(Add lines 1-3 abo�c) $ � <br /> �CON'I'.R.ACT PRICE or JOB COS"I'meons thc actual or estimated dallar amount thFu'ged for the permittcd..'ork including� <br /> materiais,Isbor,profit,and other f�.xed costs.It is th�2n',cunt to be ch,argcd to the customer for thc work done.If�'►y matcriAl, <br /> equipment,laboC,or installation is furnished by the owner,tCnant or any other party fhe reason�ble markct vaIue of such items <br /> must bc added to Ehe estimated cost or contract price for permit fee purposcs.In the cv�nt that thcre is a disputc on the amount of <br /> thc job cost che Cil�may request the submission of a 5ig»ed copy of the actusl contract. <br /> "'The STATC SURCHARGE is.0005 of thc con[ract price under$1,000,000 or$,50-whichever is greatcr.Fot valuations ovcr <br /> $1,000,000 eall thc Department of Inspectional Services for the pricc. <br /> Thc undersigtied hcrcby applies to the Giry for issuancc of a Mechanical Permi�agrees to do all work in strict accordancc with <br /> th�ordinan�es of thc City and the rc�ntlations of the Minncsota Statc Building Codc,ond certifics that all statcmCrlts madc on this <br /> applicatian arc complcte,�tc and corrc t_ <br /> Applicant's Signature: ' . T�ate: �oZ <br /> Approved By. Date: <br /> 3 <br /> �E5-� EUD/EUO d 6Z9-1 + ad ONOaO-VrOa� EI�EI ZOOZ-ll-�30 <br />