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� . . <br /> p�x�l� �E�c�LcuLATloN�s� � <br /> ��� � �� BASED OFF- 2002 S`I`t�I`E�STATUE � <br /> ❑ Ycs.this sertion applics <br /> Thc replacement of a Residential fixture or a�pliance that meets all lhree of lhe following requiremenls: <br /> 1. Dc�es not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;exdudin�the cost of the fixture or appliance: xnd <br /> 3. Is improved, installed or r�placed by the homeowner or licensed contr�ctor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surchargc $ .50 <br /> Mail-In Fee(If Applicable) $ '_.00 <br /> Total Permit Fee $ <br /> -- �—_ T— --- <br /> � ���� � PERMIT FEE,CALCULAT[ON���S)—30�5 O�ER $500.00 <br /> If above does not apply; foliow�uidelines bclow: <br /> 1. CONTRACT PRICE * is 1.25�/r,of contract price with a(Minimum Fee of$50.00) <br /> ��� x .0125 $ ���� <br /> (contruct price) (minimum��II.00) <br /> 2. STATE SURCHARGE ** Add thc Slatc Bldg Codc Div. Surcharge(Minimum Fec of'$SO) <br /> ��C� x .0005 $ �� <br /> (contract price) (minimum S .>0) <br /> 3. POSTAGE& HANDI_ING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMII'FEE(Add Lines 1-3 Above) $ ��'•(�� <br /> ■ * CONTRACT PRICE or JOE3 COST means the actual or estimated dollar amount charged for thc <br /> permitted work including materials, labor, profit, and other fixed eosts. It is the amount to he charge� <br /> to the customer for the work done. If any material, equi�ment, labor or installations are turnishcd hy <br /> the owner, tenant or any other party, the reasonable market value of such ilems must be added to thc <br /> eslimated cost or contract price for permit fee purposes. In the evenl that there is a dispute on the. <br /> amount oi the jub cost, ti7c City rna� request lhe s�bmi�sion oi a signe�i copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is.000_5 of the Buildinb Department at(953)249-460U for Uie price. <br /> � ME�HANIC�;���I�rIIT APPLICATIQN AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrecs to clo all <br /> work in strict accordance wilh the ordinances of the City and thc regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are compiete, true and <br /> correct. <br /> Ap��licant'� Signature: – �-- — Date: _ �'��� l ---- <br /> Reset Form <br /> 3 <br />