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v j <br /> ' � PERMIT F�E Ct�I,CULATION(S) � � <br /> BASED OFF- 2(�}2 STATE STATUE <br /> � Ycs, this sec[ion applics <br /> Thc rcplacemcnt oi'a Residentia( Cixture or ap�liance that meets all three��t the tolluwing reyuir�me;nts: <br /> 1. Do�s not rcquirc modification to cicctrical or gas servicc. <br /> 2. 1�3as a t��tal cost��f$500.00 or less,excludin�the cost of thc fixture or appliance: xnd <br /> 3. Is improved, installed or replaced by the homeowner or licensed eontractor. <br /> Skip next section, il'this applics; Cost ol'Permit � 1�.O0 <br /> State Surcharge $ 5.00 <br /> Mail-In Fac(If Applicable) $ ?.UO <br /> Total Permit Fee $ <br /> � PERMIT FEE CAL�ULATIt7N(S)-3C1BS QVER$500.00 <br /> �l�ah��ve does not ap�ly: foll��w guidelines below: <br /> 1. CONTRACT PRICE "� is 1.25%�of contract price with a (Minimum Fee of$SOAO) <br /> 1����� x .0125 `� da�J.�� <br /> (con[ract price) (minimum Si0.00) <br /> ?. STATE SURCHARGE '��`Add thc State Bldg Cude Div. Surchargc (Minimum P'ee of y�5.U1)) <br /> x .0005 $ `�.�� <br /> (contract price) (minimum'��.00) <br /> 3. POSTAGE� HANDLING (Only on Mail-In Applications) $ 2.OU <br /> �4. TOTAL PERMIT FEE(Add Lincs 1-3 Abovc) $ o+���.�� <br /> ■ ' CONTRACT PR10E or .iOS COST means the actual or estimated dollar amuunt charged tur the. <br /> pr�rn�itted work including materials, labor, proi'it, and other fixed costs. It is the am��unC to bc charbcd <br /> to thc customer for the work doi�e. If any mat�rial, equipment, labor or installations are furnishcd hy <br /> thc owner, tenant <�r ar.y other party, the reasonable market value of such items musC be added t�� the <br /> estiu�ated cost or contract price for permit fee p�irposes. In the event that tharc is a dispute on thc <br /> amount of the job cost, the City may request the submission of a signed copy of the actual cuntract. <br /> ■ ��� 'I'he STA7'E SliRCHARGE is.0005 times the Contract Price or a minimum of$S.UO. <br /> MECHANICAL PERMIT AgPLICATION AGREEMENT <br /> Thc undersigncd l�creby applies to the City for issuance of a Mechanica( Pcrmit, �►grees to do all <br /> w�>rk in strict accordance with the ordinances of the Cily and the regulations of the St�ite of <br /> Minnesota, and certifies that all statements made on this application are complete, truc anel <br /> COrreCt. <br /> Applicant's Sign�ture: �� �'�� Date: �'-L` �� � <br /> Reset Forrn 3 <br />