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� <br /> � _ � <br /> � '��``��y �i�".:i;�����4�`",:�;�h��',`�ERNIIT:FEE;;�CALCUL�ATION(S)�'�s>�:,;::�E�. ,�`,,���k;�_;;;:;:`� �': <br /> `�+`;'� `; :��.,f;�?;��.�; 1 T:`:���BASED"OFF�_2,002'STATE STATUE,��:4'` ��-`�%� `;' -~� <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> ]. 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 appiiance: and <br /> 3. Is improved, installed or replaced by the homeo�vner or licensed contractor. <br /> Skip next section, if this applies; Cost of Permit � 15.00 <br /> State Surchar�e $ .50 <br /> Mail-In Fee(If Applicable) $ 1.�0 <br /> Total Permit Fee S <br /> �. . - <br /> �`�� -' �:_ `�� -� PERMIT FEE CALCUI;ATION(S) =JOBS OVER $500.00 - <br /> If above does not apply; follow�uidelines below: <br /> l. CONTRACT PRICE * is 1?�4'0 of contract price with a(�Iinimum Fee oiS3�.00) <br /> 3_���,a� x .ol,ss3� �� � <br /> (convac:pnc�j (minimum���.00) <br /> 2. ST.aTE SURCH.aRGE " Add the State Bidc Code Div. Surchar�e (�Iinimum Fcc o('5.�0) <br /> ��Q z .000� S I � <br /> (contract pnce) (m�mmum S 50) <br /> 3. POST�GE 8 HANDLING (Onl�• on tilail-In Applications) S 1.�Q <br /> �3. TOTAL PER,IIIT FEE (.�dd Lines 1-3 .�bove) S �D `✓V <br /> • ` CONTRACT PRICE or JOB COST means the actual or estima[ed dollar amount charoed for the <br /> permitted work incfuding materials, labor, profit, and other fixed costs. It is the amount to be char�ed <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, [he reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the e��ent tha[ there is a dispute on the <br /> amount of tl�e job cost, the Ciry may request the submission of a si�ned copy of tlie actual contract. <br /> • *'The STATE SURCHARGE is .0005 of the Buildin� Department at(9�2) 249-4600 for the price. <br /> - - - - � .'_ MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a lvtechanical Permit, a;rees to do all <br /> work in strict accordance with the ordinances of the City and the re�ulations of the State of <br /> Ivtinnesota, and certi ies that all statements made on this application are compfete, true and <br /> correct. <br /> Applicant's Sionature: Date: <br /> ; �. Reset Form, .. • . <br /> . . :..,',:.�_.:::.:..:. . . <br /> � <br />