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� , ` <br /> . <br /> -<"` :`, z{ � �t j.p � �.� <br /> ERMIT FEE CALCULATION(S) ": , ` <br /> t ; �. �� : :. � �; <br /> ° � , <br /> ��` ` `<BASED OFF.-�2002 STATE ST;ATLTE � , _ .� � <br /> ❑ .Yes,dus section applies ' <br /> The replacement of a Residential fixture 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;excludinQ 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 Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> ` Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> ����,Y�;'���;�.� �PERIVIIT�FEE GALCULATION(S)=="JOBS OVER$500 00 '�����'�'��a-� ��;:� <br /> If above does not apply;follow guidelines below: <br /> ' 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> � � UQQ x.0125$ � �}� ~ + <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> dU <br /> x.0005 $ <br /> (contract price) (mini um$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> �� � JJ <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 /> pernutted work including materiais,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 fiirnished 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 con�act price for pernut 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 /> :_IVIECHAN ICAT;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 Signature: w.. Date: _ ��^�l� '" � � <br /> 3 <br />