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� . <br /> y <br /> '� � PERMIT FEE CALCULATION(S) � � <br /> BASED OFF - 2002 STATE�STATUE � <br /> ❑ �'es, this section a�plies <br /> The replacement of a Residential fixtw-e 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; excluding 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 Permit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT'FEE CALCULATION(S)-JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> L CONTRACT PRICE * is 1.25% of contract price with a(Minimum Fee of$50.00) <br /> � v ' �� .0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE ** Add the State Bldg Code Div. Surcharge(Minimum Fee of�5.00) <br /> �J� �v x .0005 $ <br /> (contract pnce) (minimum�5.00) <br /> 3. POSTAGE 8r.HANDLING (Only on Mail-In Applicarions) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <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 furnished by <br /> the owner, tenant or any other party, 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 subnussion of a signed copy of the actual conhact. <br /> ■ ** The STATE SURCHARGE is .0005 times the Contract Price or a minimum of$5.00. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees 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 /> � <br /> Applicant's Signatur : i'" � Date: � ������� <br /> 3 <br />