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• s .� <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF -2002 STATE STATUE <br /> ❑ Yes,this section applics <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 ar 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 $ <br /> � PERMIT FEE CALCULATION(S)–JOBS OVER$500.00 —� <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PR[CE *is l.25%of contract price with a(Minimum Fee of$50.00) <br /> , <br /> �� r�����. �: X.o►�s� �a�a_ ���, �,�s�-�� <br /> (contract pricc) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee o($.50) <br /> �I,���� �� x.0005 $ �� 6� <br /> (contract pricc) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ `J Z,�� <br /> � * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including matcrials, 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 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 /> ■ **The STATG SURCHARGE is.0005 of the Building Department at(952)249-4600 for the oricc. <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: ���j�����'� Date: ��� �C����1 <br /> Reset Form <br /> 3 <br />