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�o:�� ����.. :m �� � � � � <br /> � � <br /> PERMIT FEE CALCULATION(S) <br /> ,e,r BASED OFF - 2002 STATE STATUE <br /> [�] Yes,this section applies N� D. <br /> � �? <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;excluding 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) $ 1.50 <br /> Total Permit Fee $ <br /> � PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> x.0125$ �.�(�v <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> x .0005 $ ��-�'� <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1�6� <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 /> pemutted 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 fiunished 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 coniract price for pernut 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 Deparrinent at(952) 249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT <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: � " �� � (J� <br /> �j rZv c� �nr�-�-Q-��-� /'-�'� .q-� c,.J t �-� �'L��� ��t3�v(� <br /> 3 <br /> „ �L � � <br />