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� <br /> . , 4 <br /> : PERIVIITa FEE CAL�UL�.'F�O�I�S� ,`, f � �_�� _— ° ,� <br /> i?�I �: 4. B�SED�F�—2�0�STATE STAT� � -,.�� —�Wa � �� . <br /> ,:. .- , <br /> � Yes,this 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;e�cludine 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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ t� _S(7 <br /> —���� �� ����,-����'�'�Z�l�'��`'��E��'AL��':T�:.�TT,�N � ,-;�t�B���_+�3�1�_�5��f�t���" _:�;��a�������� �-�,��� ;�� <br /> 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$50.00) <br /> x.0125$ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(��inimum Fee of�.50) <br /> Y.0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <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 /> permitted work including materials, 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 fumished 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 contract price for permit 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 /> ,��� �� ��1Vl���I�I���=PERIVTI"��P�.I�A:`���}�n�A���E���� ��_P����,��� �����;i��r����a���,��. <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 /> Applicant's Signature: � ��^�'/�"�_ Date: 4-/ —�— `" <br /> _ .G:'�" <br /> �eS�� �0�1't��,-� .. '���1; <br /> _ ._ .�__� . _. <br /> 3 <br />