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, .. , <br /> PERMIT FEE GALCULATI4N(S}' <br /> BASED OFF -2002 STATE STATUE ' <br /> ❑ Yes,this section applies <br /> T'he replacement of a Residential fiacture or appliance that meets all three of the following requirements: <br /> 1. Dces not require modification to electrical or gas service. <br /> 2. Has a to cost of$500.00 or less;excluding the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip neact section,if this applies; Cost of Pernvt $ 15.00 <br /> State Surchazge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PER�LIIT FEE CALCULATION S —JOBS OVER$SOQ.fl(? <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1_25%of contract price with a(Minimum Fee of$50.00) <br /> ��,(yl1L). vt� x.0125$ �5d. �� <br /> (con ct price) (minimum$50.00) <br /> 2. STATE SURCHARGE <br /> �aZ(Tll�• lit, x.0005 $ �•�� <br /> ( tract price) <br /> 3. POSTAGE&HANDLING(On(y on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ �.5 a • �v <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,protit, and other fixed costs. lt is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished 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 /> ' MECHANICAL PERMIT APPLI�ATION AGxtEEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pernut, 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: � .3 <br /> 3 <br />