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PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Apgiies <br /> The replacement af a Residential fixture or a�pliance that meets atl 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; excludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next secfion; Cost of Permit $ 15.00 <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Co�ptract Price* is .0125%of job with a Minimum Fee of(�35.00) <br /> ��f.�.� X .o12s $ 3��,� <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> ,�2�..��x .0005 $ _ ��3-- <br /> (contract price) (minimum$ .50) <br /> 3. Postage and Handlin� (Only nzail-in appdications) $ � <br /> 4. TOTAL PERMIT'FEE (Add lines 1-3 above) $ �� �r <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> materials,]abor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.If any material, <br /> equipment, labor,or instailation is furnished by the owner,tenant or any other party the reasonable market value of sucli items <br /> must be added to the estimated cost or contract price for permit fee purposes.In 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 contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations 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 Pem�it,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 /> �� � <br /> Applicant's Signat e: c�— Date: ,�U ��� <br /> Approved By: � <br /> Date: <br /> 3 I <br />