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.. , . <br /> � PERMIT FEE CAI,CULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or ap�liance that meets all three of the followiug requirements: <br /> 1. Does not require modification to electricai or gas service. <br /> 2. Has a total cost of$500.00 or less; exc(udin�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 $ .50 <br /> Mail-In Fee(If Applicable) $ L50 <br /> Totai Yermit Fee $ <br /> PERMIT FBE CALCULATION(S)-JOBS OVER$SQ0.00 <br /> If above does not apply; follow guidelines below: . <br /> 1. CONTRACT PRICE * is 125°l0 of contraci price with a(Miui►nwn Fee of$35.00) <br /> �, l�l�?. OC� X.oi�s� '�-�k � <br /> (wnvact price) (minitnum$3�.00) <br /> 2. STaTE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fec of$.50) <br /> �, /��� �U x .0005 $ �� I � <br /> (conuxct price) (mioimum$ .�0) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 7 <br /> 4. TOTAL YERMIT FEE(Add Lines 1-3 Above) $ �q� <br /> • * CONTRACT PR10E or JOB COST means the actual or estiinated doltar amount charged for the <br /> pzrmitted work including materials, labor, profit,and other fixed costs. It is the amoiuit to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner, t�nant 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 submission of a signed copy of the actual contract. <br /> ■ **1'he STATE SURCHARGE is.0005 of the Buildi��g Department at(952)249-�600 for the price. <br /> [-T� MECHA.NICAL 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 cei•tifies that all statements made on this application are camplete, true and <br /> correct. <br /> , � <br /> % " <br /> Applicant's Signature: �'��-� /� �`�-� Date: �� �b <br /> Reset Form <br /> __. _. <br /> 3 <br />