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� <br /> 1 <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or a�pliance 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: <br /> and <br /> 3) Is improved, installed or replaced Uy 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 /> 1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00) <br /> �j�jbb. � x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> x .0005 $ <br /> (contract price) (minimum$.50) <br /> 3. Posta�e and Handlin� (Only n:ail-i�z �pplicatio�rs) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 aUove) $ <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment,labor,or installation is fumished by the owner,tenant or any other party the reasonable market value of such items <br /> must be 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 job cost,the City may request the submission of a signed copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Nlinnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> .�7 , � <br /> Applicant's Signature:��,��� Date: � ���v � <br /> Approved By: Date: <br /> 3 <br /> -'� 'i�V t � �.• ���,^�.;rl� ,��� �i� �r I�Q�! 'N .�II �i P e^. ili � <br /> ,_,. ' .; � �I ; •'.: : 1 .'� '�; <br /> t "ti" `;. , ';,,, ;. .�:'.I � ' ..'i:.�k I .. I.; fr: "I��. .il� ,��I i '�' ..,:�: %...a� i ..... ��i v -�'� . �::I _.I :.:.. �� I- ."a'N i �,"`N ' 6� ,;�a I II n., .�:.�• <br /> I .>:,. . w- ,.; ,� ::;. _.,, I .1,...: ,.,:+, i ..a i .ill ..... ...I...:,� i.Nr ii..�,.. i....�.:�� i I�_,,,.b i i :.:,, . qIl ._i:, �;... �.i� u, i 7 i1..p�tl��y,ir . .,�.., <br /> ��r,d �,...., „ .�. .., ;.; .,�., , ...�, ... .:...�il�l� I�I i i n�,��,ll� i�::,� �r .� i-�:3� II�-, �e,e , . I� I I 11 i .���i.n. n�,:u��,..�i�,i nll.d � <br /> •:i .. . . � r .�ni�,i i I .i- t. V li.�...,��.Y��:I I�I�I�,:� G�.. i,...: .lh�. ,a^�i. i u���- '� �w-_:-���I`��� �lu ��,�. lil I-: .,i viV .1..,�,��1��,..i,.i��s.,� �l <br />� �:::.,�''. �a ,'. ., �-�,�`. '��:nl�,..'�i.11i��:r.�:u..�lll ��'�" '� �� �`w�s, �^,�x�` ..� :. <br /> r e ,�. e��.y. Jo,�'� i ��t � .,��.:':44JJ�.tl��z«����d���altV1Y�...1..�x����.�mil��a i wl�:.11l�Ohr� iW-0��u.e���. �.,.�wY^rnh!.m'6� l�. zJN�A:� �i':� �W'..�Yd��ou"�,.I� ����,., =�� <br />