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� <br /> . <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The replacement of a Residential fixture or ap lip �ance 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 a500.00 or less; excludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced Uy the homeowner or licensed contractor. <br /> Skip next section; Cost of Pennit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If aUove does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of joU with a Minimum Fee of($35.00) <br /> .y�'i%' " � x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> x .0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. Posta�e and Handling (O�ily mail-i�i applicatio�:s) $ 1.50 <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 permitted work including <br /> materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done. 1f any material, <br /> equipment, labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes. �n the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of the actual contracc. <br /> **The STATE SURCHARGE is.0005 of the contract price under�1,000,000 or$.50-whichever is greater.For va►uations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> Applicant's Signature: -'� ��i� � %'� Date: ��� ���� �� <br /> �� <br /> Approved By: � � Date: <br /> 3 <br />