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. ti <br /> �'ERNfIT FE� CALCULATION(S) <br /> 2062 State Statute ❑ Yes This Section A�Sgdies <br /> The replacement of a Residential fixture or appliance that meetis 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; excludine 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 Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Nail-In Fee $ 1.50 <br /> If abo��e does not apply, follow buidelines below: <br /> l. �oritr-act I'rice* is .012�% of job with a ld�inimum Fec of($35.00) <br /> � <br /> � ��-`�� - x .0125 $ �.�_C� � <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimuin Fee of($ .50) <br /> l�� ��� �>> x .000s $ �� <br /> (contract price) (minimum$ .SO) <br /> 3. Posta�e and�andlin� (O�zly��zail-i�i applicatior�s) $ ��_ <br /> 4. TO'�'AL, �'��'�IIT�'EE (Add Iines 1-3 above} � _�j � <br /> *CONTRACT PRICE�or JOB COST means the actual or estimated ciollar anlount charged for the permitted work ineluding <br /> ma,crials,labor, profit,and other fixed costs.It is thc amount to be charged to the customer for the work done. If any material, <br /> equipment, labor,or installation is furnished by the owner,tenant or any other party the reasonable market value of suc}t items <br /> must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of <br /> the job cost,the City may request the submission of a signed copy of the actual contract. <br /> **The STATE SURCHARGE is.0005 of the contract price under$],000,000 or$.�0-whichever is greater. For valuations over <br /> �1,000,000 call the Department of Ir�spectional Services for the price. <br /> The undersigned hereby applies ro the City for issuance of a Mechanical Pern�it,a;rees to do all work in strict accordance with <br /> the ordinances of the City and the regulatiotts of the Minnesofa State Building Code,and certifies that all statements made on this <br /> application are complete,true and correct. <br /> __ , <br /> i <br /> Applicant's Signature: Pi�,�-�-�C,- ����_ � �. ,-� <br /> ,._ Date: i �'�, <br /> Approved By: Date: <br /> � � <br />