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� � <br /> � <br /> PERMIT FEE CALCULATION(S) '. . <br /> BASED OFF-2Q02 STATE STATUE` <br /> ❑ Yes,this section applies <br /> The replacement of a R�idential fixture or ap,�liance that meets all three of the following requirements: <br /> 1. m t require modification to electric�l or gas service. <br /> 2. Has a total co�t of$500.00 or less;excludin�the cost of the fixture or appliance:and <br /> 3. Is improved,insta.11ed or replaced by the ham�wner or licensefl contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Sutcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> ' PE�MIT PEE C�4I..CUI,ATIOQN S -J(�BS O�ER.$500.U0 ` <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE �`is 1.25%of coniiact price with a(Minimnm Fee of$50.00) <br /> 3a�•� X.oias$ So.� <br /> c�om�r�ce� c�om sso.00� <br /> 2. STATESURCHARGE <br /> ,�fJ'DZ�. � x.0005 $ �� S�� <br /> (comract Price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applic�tions) $ 2.00 <br /> 4. TOTAL PERNIIT FEE(Add Lines 1-3 Abave) $ s3-5� � <br /> ■ ' CON'IRACT PRICE or JOB COST m�ns the actual or estunated dollar amount charged for the <br /> permitted 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 mazket value of such items must be added to the <br /> estimated cost or contract price for permit fee pwposes. In the eveirt that there is a dispute on the <br /> amount of the job cost,the City may reque.st the submission of a signed copy of the actual coniract. <br /> ; MECHANICAL PERMIT APPL�CATION AGRE�N�1�T <br /> T'he undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do a11 <br /> work in strict accordance with the ordinances of the City and the regulations of the Staxe of <br /> Minnesota, and certifies that a11 statements made on this application are complete, true and <br /> correct <br /> Applicant's Signature: iY..`— Date:�'��/3 <br /> 3 <br />