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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 <br /> 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 section; Cost of Pernut $ 15.00 <br /> Stafe Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply,follow guidelines below: <br /> 1. Contract Price*is .0125%of job with a Minimum Fee of(535.00) <br /> l���C�D X.oi2s $ -�5-� <br /> (contract price) (minimum$35.00) <br /> 2.State Surchar�e. **Add the State Building Code Division a Minimum Fee of(S.501 <br /> I vr J v'W x.0005 $ �(� <br /> (contract price) (minimiun$.50) <br /> 3.Postaee and Handline(Only mail-in applicatio�zs) $ 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 <br /> including materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work <br /> done.If any material,equipment,labor,or installation is furnished by the owner,tenant or any other party the <br /> reasonable mazket value of such items must be added to the estimated cost or contract price for pernvt fee purposes.In <br /> the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of <br /> the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For <br /> valuations over$1,000,000 call the Department of Inspectional Services for the price. <br /> T'he undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict <br /> accordance with the ordinances of the City and the regularions of the Minnesota State Building Code,and certifies that <br /> all statements made on this appticafion aze complete,true and correc� <br /> � <br /> Applicant's Signature: �����i11 C���,�'�"�7 Date: o � D <br /> Approved By: Date: <br /> �� �'� � � � s� <br /> �� .�� R� ��Ir�� l� �f <br /> �.�.:�� �.:�:.�.� _n � wvv� <br />