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Q3-09—'18 07:56 FROM— 1-627 P0003/0004 F-083 <br /> PERMIT FEE CALCULATXON(S) • . <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 /> L Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or loss;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 $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE'CALCULATION(S)-JOB OVER$500.00 . <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$50.00 <br /> 2. STATE 61111)-- <br /> cont?4cf 1 rlce' <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) taNtigaq <br /> 4. TOTAL PERMITFEE ' Ft CIO <br /> (Add Lines 1-3 Above) °�';,�• -,��,.��r, . ; <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 be 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 /> • <br /> • <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 stateme made :•—• this application are complete, true and <br /> correct. <br /> 4 <br /> 1 (K <br /> Applicant's Signature; i ..-� Dat . <br /> `/ �� <br /> 3 <br />