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. ' <br /> � � PERMIT FEE CA�.CULATION{S) ��� � � � <br /> � . �, �BASED ORF - 2002 STATE STATUE '� � � � . - <br /> ❑ Yes,this section appl� <br /> The replacement of a Residential fixt e or a liance that meets all three of the following requirements: <br /> 1. Does not require modification electrical or gas service. <br /> 2. Has a total cost of$500.00 or less; cludin the cost of the fixture or appliance: and <br /> 3. Is improved,installed ar replaced by the�omeowner or licensed contractor. <br /> ��� <br /> Skip next section,if this applies; Cost of�rmit $ 15.00 <br /> State Surchai- $ 5.00 <br /> Mail-In Fee(If A icable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT-FEE CALCULATIQN S -JOBS QVER $500.00 <br /> ]f above does not apply;follow guidelines below: <br /> l. CONTRACT PR10E * is l.25%of contract price with a(Minimum Fee of$50.00) <br /> �� ( � b � x.0125 $ �1 ��' .�� <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE c, <br /> � f � � � x.0005 $ ` ' ''J� <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 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, ]abor,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 �tems must he 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 /> ;� � z� � CHANICAL P"�RMIT APPLICAT�{�.-�AGREEM r �. ��:,: �� ;��: �' <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 /> q� ( � �� <br /> Applicant's Signature: Date: <br /> 3 <br />