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� t <br /> � I� PERMIT FEE CALCULATION(S) <br /> �_ BASED OFF - 2002 STATE STATUE <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;excludinQ 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 appiies; Cost of Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ �-66— <br /> Total Permit Fee $ •�G <br /> � PERMIT FEE CA�CULATION(S)-JOBS 4VER$500.00 t , ���..� ��`. <br /> F�,�:: <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 3� � �s X .oi2s $ �/� . ''�� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> 3 f � �5 X.000s $ I . �5 <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ��� <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��1. �O <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> perniitted 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 furnished 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 /> � �� 4.���.`` MECHANICA�.PERMIT APPLICA.TI�N AGREEME�':�§�����.������ �x ''.: <br /> �� �;_ <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> wark 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 /> � — � Y .��� � /I 1. <br /> Applicant's Signature: � Date: <br /> 3 <br />