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PERMIT FEE CA��CULATION(S) <br /> BASED OFF-200 STATE STATUE <br /> ❑ Yes,this section applies , <br /> The replacement of a Residential fixhu�e or appliance that meets all thr�of the following requirements: <br /> 1. Dces not require modific�tion to el�trical or gas service. <br /> 2. Has a�of$500.00 or less;exaluding the cost of the fixture or appliance:and <br /> 3. Ls improved,install�or replaced by the homeowner or licensed conh�dor. <br /> Skip next section,if this appli�; Cost of Petmit $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In F�(If Applic�ble) $ 2.00 <br /> Total Permit Fe,e $ <br /> PERNIIT FEE CALCULATION S —JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACl'PRICE *is 1.25%of contract price with a(Minimam F�of S511.�) <br /> �gl�.[1U x.0125$ �o��.$O <br /> (conhact price) (minimam$50.00) <br /> 2. STATE 5URCHARGE L' <br /> ef I�v�. (J?� , x.0005 $ �'• cI� <br /> (contracttnice) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applic�tions) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add L'm�s 1-3 Above) $ ��,�• `/D <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the <br /> permitted work including tnaterials,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,Iabor 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 pennit fee purpos�. In the event that there is a dispute on the <br /> amoimt of the job cost,the City may r�uest the submission of a signed copy of the actual contract. <br /> MECHAlVICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agre,es 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 aze complete, true and <br /> correc� <br /> Applicant's Sigaature: _,�iY � Date: `!� ^,? /1 <br /> Reset Form <br /> 3 <br />