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02-06-'18 12:39 FROM- T-494 P0003/0004 F-929 <br /> PERMIT FEE CALCULATIONS) <br /> BASED OFF -2002 STATE STATUE '. <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excluding the cost of the fixture or appliance:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 1 .00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S) JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE a is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> Si 3 <br /> ( d.i* Coiiinlma issAg <br /> 2. STATE SURCHARGEl <br /> ke46000h4 <br /> 3, POSTAGE&HANDLING(Only on Mail-In Applications) Q °r. <br /> ,,,,'7 (A <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) (1 �;,fI�1„(1, /,i >:a',,') <br /> ■ " CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,profit,and other fixed costs. It is the amount to bt charged <br /> to the customer for the work done. If any material,equipment, labor 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 permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> MECHANICAL PERMIT APPLICATION AGREEMENT . <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees 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 are complete, true and <br /> correct. <br /> /"Iiiiiir ..„,..... <br /> Applicant's Signature: (P4.1i0 r <br /> ie <br /> 3 <br />