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, PEIZMIT FEE CALCLLATION(S) , <br /> BASED OFF - 2002 STATE STATLTE. <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 iess; excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or Iicensed contractor. <br /> Skip next section,if this applies, Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit�ee � $ <br /> PERMIT FEE CALCLTLATIO�S}=3GBS 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$35.00) <br /> � io �� i� �� . � c� x .o125 �� i2 `t . j�, c� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(A7inimum Fee of�.50) <br /> � (G; ��b. G �: x.0005 $ 5 • I � <br /> (contract price) (minimum$ .�0) <br /> 3. POSTAGE&HANDLING(Oniy on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $_ l 3 �o . 2-- � <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 charged <br /> to the customer for the work done. If any material, equipment, labor or installations are iurnished by <br /> the owner, tenant or any other pariy, 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 Department at(952)249-4600 for the price. <br /> IvIECHANTCAL PERI�IIT APPLICATION AGREEMEI�T : �. ..�; ' <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in strict aceordance with the ordinances of the City and tl�e regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. \ <br /> ' 1 <br /> � <br /> Applicant's Signature: �`''" C/� Date: . ( � `� � <br /> C,t-� <br /> Reset Form . <br /> 3 <br />