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PERMIT FEE CALCI7LATI4�T(S) <br /> BASED OFF-2002 STATE STAT'UE <br /> ❑ Yes,this section applies <br /> T'he replacement of a Residential fixture or a pin iance that meets all three of the following requirements: <br /> 1. Dces not require modification to electrical or gas service. <br /> 2. Has a tQtal cost of 5500.0(1 or less;excludine the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip ne�section,if this applies; Cost of Permit $ 15.00 <br /> State Surchazge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULt�TiON S -JOBS OVER$500.00 ` <br /> If above does not apply;fotlow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> ���'`f�'I r3: � $��Iv� 3� X.oi2s$ �D�. l.� <br /> (contract price) (minimum 5511.00) <br /> 2. STATE SURCHARGE ��a,� X.o�s $ �� �� <br /> (contr�t price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are fumished 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 permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> MECHANICAL FERMIT APPLICATIOIV AGREEIvI��'NT <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 <br /> correct. <br /> ( <br /> Applicant's Signature: ` Date: �'T�.3 <br /> � <br /> 3 <br />