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� <br /> ' t i i. _,�, � ,�, _ � -�><��pER1V1IT FEE CALCUL�ATION(S ' , , T ='� `Y ; <br /> . �,``�'; , �,.,�.;��{X.'.t�t y}�,;BASED OEF_�'=2002'S,T`AT'E�S'I'ATiJE;f. � "��`�r'� � � ' ' 4,` <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance 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 appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit � 15.00 <br /> State Surchar�e $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> ' �` PERNIIT FEE CALCUL;A'?-'ION S =JOBS OVER$500.00 - <br /> If above does not apply; follow guidelines belo�v: <br /> 1. CONTR�CT PRICE * is I?�°/a of contract price with a(�Iinimum Fee of�3�.00) <br /> l .J��� x .O125 � ��, I� <br /> (lontract pricc) (minimum�3�00) <br /> 2. STATE SURCH,aRGE ** Add the State Bldg Code Div. Surcharge (�linimum Fcc of S.iO) <br /> �W�� x .000� 5 �� �� <br /> contract price) (minimum$ SO1 <br /> 3. POSTAGE& HANDLING (Only on Mail-In Applications) S 1.50 <br /> 4. TOTAL PER�tiIIT FEE(.Add Lines I-3 Above) S ���� <br /> • * CONTRACT PRICE or JOB COST 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 char�ed <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 tl�e actual contract. <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, a�rees to do all <br /> work in strict accordance- ith the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifi�s that all statements made on this application are complete, true and <br /> correct. <br /> � <br /> Applicant's Sianature: Date: �� � <br /> ;:i Reset Form - .. , <br /> . . .:.. ': ...:. :.:.... . . . . <br /> 3 <br />