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JUL-202009 11:08A FROM:MIDAMERICA 16517799786 TO:9522494616 P.4/4 <br /> PERMIT FEE CALCULATION(S) <br /> BASED,QF -2002 STATE STATUE <br /> 13 Yes«this section applies <br /> The replacement of a Residential flo i that meets all three of the following requirements: <br /> 1- Does not require modification to lecarlcal or gas service. <br /> 2. Has a total ooh of$500.00 or 1 .- —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 $ "(5.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(IfApplicable) $ 2.00 <br /> Total Permit Fee S�^ <br /> PERMIT PEE CALC TION(S)—JOBS OVER$500.00 <br /> If above does not apply;follow guidelines bolo : <br /> 1. COC'',-PRICE •is 1.25%of contract price with a(Minimu �F]�o <br /> SS0.00) <br /> �0C x.0125$ -00 <br /> te•nund Price) (minimum$50,00) <br /> 2. UAZ SURCHARGE **Adda State Bldg Code Div,Surcharge(Minimum free of 5.90) <br /> Wr r <br /> X.0005 $ 'Y ' <br /> (�n'mct price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on ail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add tines i-3 Above) S '77-To <br /> • • CONTRACT PRICE or JOB COST mean's the actual or estimated dollar amount charged for the <br /> permitted work including materials,labor,pr fig and other fixed casts. It is the amount to be charged- <br /> to the customer for the work done: If anyterial,equipment <br /> +labor or installations are furnished by <br /> the owner,tenant or any other party,the rens nable market value of such items must be.added to the <br /> estimated cost or contract price for permit f 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 /> • <br /> **The STATE SURCHARGE is.0005 of the uliding Department at(952)249-4600 for the price. <br /> MF.CHANICAI.PERMIT PPLICATION "AM REEMENT <br /> The undersigned hereby applies to the City fa issuance of a Mechanical Permit,agrees to do$It <br /> work in strict accordance with the ordinance of the City and the regulations of the State of <br /> Minnesota, and certifies that all state ents ado on this application are complete. true and <br /> correct. <br /> Applicant's Signature: Date: —7" <br /> 3 <br />