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PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ 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; excludine 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 section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> � <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Pri�e* is .0125%of job with a Minimum Fee of($35.00) :,� <br /> ��,��� at� ��c�- �r� � � <br /> S C�a- �„�,�,�.��� �rr��� /� � ���� X .oi2s $ <br /> �J�"- I • ( �,,l.,>l,'v Q �I,�i�4L'e-� a'YI(�Y'c3CE��- (contract price) `� ,,.{-t�/��imu�ty$31vLt�. <br /> r Y'�(, 'ta �l'"�"' �' ,� ��`'1'�� �\,��5 tS � %'�'k'r�I r' K�c� E-�e <br /> �;� �a 5 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($.50) <br /> x .0005 $ <br /> (contract price) (minimum$.50) <br /> 3. Posta�e and Handling (Only mail-in applications) $ 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 V <br /> materials,labor,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 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. 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 /> `�% <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 Deparhnent 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: � Date: <br /> Approved By: Date: <br /> 3 <br /> � . � <br /> _ ; . , <br /> . � � <br /> d , ; <br /> � � � y , <br />