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� PERMIT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or aapliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixture or app(iance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ I5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) S 2.00 <br /> Total Permit Fet $ <br /> PERNIIT FEE CALCULATION S —JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRiCE *is 1.25%of contract price with a(Minimum Fee of S50.00) <br /> 3�as� � X.0�25$ <br /> (contract price) (minimum 550.00) <br /> 2. STATE SURCHARGE *'Add the State Bidg Code Div.Surcharge(Mioimam Fee of 5.59) <br /> x.0005 S <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S <br /> ■ * CONTRACT PRICE or JOB GOST means the actual or estimated dollar 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 materia(,equipment,labor or installarions are fumished by <br /> the owner,tenant or any other pazty,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 /> ■ "*The STATE SURCHARGE is.0005 of the Building Deparhnent 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 <br /> correct. <br /> ApplicanYs Signature: ��. �(�` Date: � ` � 3 � �/ <br /> Reset Fo�m <br /> 3 <br />