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E� � <br /> . � <br /> . � <br /> PERNIIT FEE CALCLTLATION(Sl <br /> 2002 State Statute ❑Yes This Section Applies <br /> The replacement of a Residential fu�ture 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: <br /> and <br /> 3) Is improved,insta.11ed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> _. . Sta.te Surcharge$ .50' <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of($35.001 <br /> � �• x .0125 $ ���� <br /> (contract price) (minimum$35.00) <br /> ��� � 2. State Surch�r�e. **Add the State Building Code Division a Minimum Fee of($.50) <br /> . . . c:�� � x .0005 � �<<�� <br /> (contract price) (minimum$.50) <br /> 3. Postaae and HandlinQ(Only mail in applications) � I.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ 4��� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pernutted work including <br /> materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.ff any material, <br /> equipment,labor,or installation is fumished by the owner,tenant or any other pariy the reasonable market value of such items <br /> must be added to the estimated cost or con�act 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 con�act price under$1,000,000 or$.50-whichever is�eater.For valuarions over <br /> $1,000,000 call the Deparhnent of Inspectional Services for theprice. <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 Qrdinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> appIication are complete,true and correct <br /> -Applicant's Signature: �(/�� Date: /�'� �� <br /> , <br /> Approved By: Date: <br /> 3 <br />