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1, <br /> PE;Z��IIT FEE CALCULATION(S) <br /> 200? State Statute ❑ 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; excludine the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> L Contract Price* is .0125% of job with a Minimum Fee of($35.00) <br /> °�vvv x .0125 $ ��j ,_� <br /> (contract price) (minimum$35.00) <br /> 2. Scate Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> x .0005 $ C - �V <br /> (contract price) (minimum$.50) <br /> 3. Posta�e and Handlin� (Only niai!-in applications) $ 1.50 <br /> 4. TOTAL PERivIIT FEE (Add lines 1-3 above) $ 3�t•JV <br /> 'CO�JTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> mate;ia;s,labor,prcfit,and other f ixc�costs. It is che 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�e added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> the jub cost,the City may request the submission of a signed copy of the actual contract. <br /> "*The STATE SURCHARGE is.000�of the contract price under S 1,000,000 or$.50-whichever is greater.For valuations over <br /> S 1,OGO,OGO c:�ll the Department of Inspectional Services for the price. <br /> The undersiLncd hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the o�dinanccs of the Ciry and the regulations of the Minnesota State Building Code,and certifies that ail statements made on this <br /> application are complete,true and correct. <br /> App'ic:.nt'r :�iomature: � Date: �'��'�� <br /> App��o�cd , Date: <br /> 3 <br />