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PERMIT FEE CALCULATIOIti'�S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appiiance that meets all three of the followin�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,installzd or repiaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cos:of Permit � 1�.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERI�IIT FEE CALCULATION(S)—JOBS OVER$500.00 <br /> If above does not apply;follow�uidelines below: <br /> 1. CONTR4CT PRICE * is 1?�°�0 of contract price with a(Minimum Fee of$�Q.00) <br /> 3c.00 . ao X.oi2s � 60 .00 <br /> (contract pncej (minimum 550.00) <br /> 2. STATE StiRCHARGE <br /> 3ls 0� • G O x.0005 $ � .�O <br /> (contrac:price) <br /> 3. POSTAGE&HANDLI?�1G(Cnly on!�Iail-In Applications) $ 2.00 <br /> 4. TOTAL PERNIIT FEE(Add Lines 1-� Above) $ 5.'3�g� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount char�ed for the <br /> permitted work includina materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer fer the work done. If any material, equipment, labor or instaliations are furnished by <br /> the owner, tenant or any other party, the reasonab?e 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 reGuest the submission of a si�ned copy of the actual contract. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT' <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, a�ees to do all <br /> work 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 /> Applicant's Signature: Date: 5�/S�/L <br /> -� <br /> Reset Form <br /> 3 <br />