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'�: PERMIT FEE CA.L�tTLA TIQI'��S) �� � ��; � �.: <br /> BASED OFF-2002 STATE ST�ATUE' _- ' 4�-�' _�t�`� <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or ap lp iance 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;excludine 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 Surchazge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> � '�"" PERMIT FEE CALCUI:ATION S '°="�JO�S�QVER,$SOU 00 ..:. . >�j- .;:�° <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fe of$35.00) <br /> � S�6 d a x.0125$ ��o � �� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) <br /> 00 � <br /> SS Da-"' x.0005 $ �- 7 <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> �7 ��v <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ / �- <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz 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 submission of a signed copy of the actual contract. <br /> ■ **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> .. �; MECHAIVICAI;PERMIT A;PPLTCATION`AGREE1kiENT ..' _ �� ., <br /> £ <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 /> ApplicanYs Signature: ,�„�o� �� , Date: �`d� ,�- o S <br /> �Reset`Form <br /> # _. � <br /> 3 <br />