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PETIT FEE CA LCULATION(Sl <br /> 2002 State Statute [] Yes This Section Applies <br /> The replacement of a Residential fixture or appliatce that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Hasa total cost of$500.00 or less; excludine the cost of the fixture or appliance.- <br /> and <br /> ppliance: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 /> Mail-In Pee $ 1.50 <br /> If above does not apply,follow guidelines below: <br /> 1.. Contract:Price* is .0125% of job with a Minimum Fee of($35.00) <br /> n /) <br /> ��. 0125 $_� I 7S <br /> (contract price) (minimum 535.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a((Minimum Fee of($ .50) <br /> /) 11-�.09 Qo-C., $ _ 7) <br /> (contract price) (minimum$,50) <br /> 3. Postage and Handling(Only mail-in applications) $ <br /> 4. 7f07f.A,)G PERMIT)FEE (Add lines 1-3 above) $ _ <br /> U <br /> •CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including <br /> materials,labor,profit,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 installation 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 fee purposes.In the event that there is a dispute on the amount of <br /> tha job cost,the City may request the submission of a sighed copy of the actual contract, <br /> "The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For valuations over <br /> $1,000,000 call the Department of inspectional Services for the price_ <br /> The undersigned hereby applics to the City for issuance of a Mechanical permit,agrees to do alI 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 this <br /> application are complete,true and correct. <br /> Applicant's Signature: Date: <br /> Approved By: Date: <br /> 3 <br /> £ZO-d 800/I00'd 081-1 919b6gZZ96+ NOV d0 dllO-Woad mdq£:Z0 £OOZ-9l-uEr <br />