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f <br /> • PERMIT FEE CALCULATION(S) <br /> � BASED OFF - 2002 STATE STATUE ` <br /> ❑ Yes, this se�ction applies <br /> The repiacement of a Residential fixture or appliance that meets all tlu�ee of the following requirements: <br /> 1. Does not require modification to elech�ical or gas service. <br /> 2. Has a total cost of$500.00 or less; excludin�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 applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-Iiz Fee(If Applicable) $ 1.50 <br /> Total Permit Fee � <br /> PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.2�%of contract price with a(Minimum Fee of�35.00) <br /> 3����.�=� �: .oi?s $ <br /> (conh�act}�rice) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x .0005 $ <br /> (contract price) (minimum S .�0) <br /> 3. POSTAGE&HANDLII�TG(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add Lines 1-3 Above) $ <br /> ■ 'k 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 furnished by <br /> the owner, tenant or any other party, the reasonable inarket value of such items must be added to the <br /> estimated cost or contract price for pernut fee puiposes. 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 conn-act. <br /> � ** The STATE SURCHARGE is .0005 of flle Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersi�ned hereby applies to the City for issuance of a Mechanical Permit, ab ees to do all <br /> ���orlc in strict accardance 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, n-ue and <br /> con-ect. <br /> Applicant's Signature: i�'v � �— Date: %D����S' <br /> � <br /> 3 <br />