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� <br /> . , <br /> PERMIT FEE CA�LCULA'IION(S) � <br /> �ASED OFF'- 20t�2 STATE�TATUE <br /> � Ycs. this secti<m �pplies <br /> Thc rcplacement o1'a Residential fixture or ap�liance that meets all three of the fullowin� requircmenls: <br /> L Does not require modification to clectrical or das scrvicc. <br /> 2. t-�as a total cost oi$500.00 or less;excludin�the cost oi'thc fixture or appliancc: and <br /> �. Is improved, installed or replaced by the homeowner or licenscd contractor. <br /> Skip next section, if this applies; Cost of Permit $ 1�.f)0 <br /> State Surcharge $ 5.00 <br /> Mail-In Fec(If Applicablc;) $ 2.O0 <br /> Total Permit Fee $ <br /> � PERMIT FEE CALCULAT'ION(�)—TOBS (�VER $500,00 <br /> If xhuvc ducs not apply; follow guidelines below: <br /> 1. CONTRACT PR10E * is L25°i��oi�contract price with a (Minimuin Fee of'$50.00) <br /> �Ib�D X .����s � ��(� <br /> (contract price) (minimum 5�0.00) <br /> ?. STATE SURCHARGG '��` Add lhe StaCe Bl�ig Code Div. Surchargc(Minimum P'ee of'�5.1111) <br /> X .000s � 5 ��� <br /> (contract price) (minimum$�.00) <br /> 3. POS'I'AGE� HANDLING (Only on Mail-In Applications) $ 2.00 <br /> �t. TOTAL PERMIT FEE(Add Lincs 1-3 Ab�vc) $ �/�'" " <br /> ■ " CONTRACT PRiCE or .IOS COST means Che actual or estimated dollar amount charged fur the <br /> prrmittcd work induding materials, labor, profit, and othcr fixed costs. It is thc amount to be chxrgcd <br /> t�� lhc customer for the work done. If any material, equipment, labor or installations are fun�ished by <br /> thr e�wner, tenant ��r any other party, the reasonable market value of such items must be addcd te� thc <br /> estii»alcel cost or contr�ict pri;e for permit fee �urpos�s. In the event that lherc is a dispiRe <�n thc <br /> amuunt of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> • �"`'I�he S'�I'ATE SURCHARGE is .00US times the Contract Price or a minimun�of`�5.�)0. <br /> MECHANICAL FERMIT APFLiCATION AGREEMENT <br /> Th� undersigned l�creby applies to the Ciry for issuance of a Mechanical Pcrmit, agrees <<� do all <br /> work in sU�ict accordance with the ordin�nces of the City and [he regulati��ns of the State of <br /> Minncsota, and certifies that all statements made on this application are complete, truc and <br /> con�ect. <br /> Applicant's Signatt�n�e: ����„�i�'" " Date: ��' �$' �� <br /> Reset Form 3 <br />