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� � , <br /> PERI�YI'I'FEE �ALCULATION(Sl <br /> 2002 5tate Statute ❑ Yes This Section AppIies <br /> The replac�rnent of a Residential fixture or a�pliance that meets all three of the foIlowing 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 Iicensed contractor. <br /> Skip next section; Cost of Pennit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee � l.50 <br /> If above does not apply, follo�r guidelines belew: <br /> 1. �'ontra�t ��•6ce'� is .0125% of job wit}i a lm.'��Ila»t�l�arr� �{ee oi�(�35 00) <br /> `�L��� a�� �: .O l 25 $ �S v. <br /> (contract price) (minimum�35.00) <br /> 2. State �urehar�e. **Add the State Building Code DivisioiZ a 10'Iinimum �'ee�f($ S�� <br /> ��'. ���-' x .0005 � ."7 j' <br /> (contract price) (minimum$ .50) <br /> 3. PQstaQe anel �andli�7 (Orady mail-irr applicatio�rs) � �, <br /> 4. `�'��'�T F�R?��� �'�� (.�dd lines 1-3 above) � -j'� ��� <br /> �`COTJTRACT PRICE or JOB COST means the actual or estimated dollar amount chareed for the permitted work including <br /> materials,labor, prolit,and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, <br /> equipment, labor,or instailation is furnished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit[ee purposes. in the event that there is a disput:on the amount of <br /> thejob cost,the City may request the submission ot a signed copy of the actual contract. <br /> **The STATE SliRCHARG�is.0005 of the contract price under�1;000,000 or$.50-whichever is greater. For valuations over <br /> S 1,000,000 calf the Department of Inspectional Services for the price, <br /> The undersigned hereby applies to the City for issuance of a Mechanical Pennit,agrees to do all work in strict accordance with <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on dlis <br /> application are complete,true and correct. <br /> Applicant's Signature: _ �_ � � �- Date: ��-�S.� � <br /> Approved By: Date: <br /> � <br /> 3 I <br />