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, c <br /> PERMIT FEE CALCUL°.- m <br /> J - b RASED OFF - 2002 STATE STATU ` :r <br /> ❑ Yes,this section applies <br /> The replacement o'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. Hasa total cost of$500.00 or less;excluding the cost of the fixture or appliance:and <br /> 3. Is imjroved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> K <br /> k <br /> Y �IRke!p� <br /> ...L.!rt._ ¢ V tbez„hcX'.:: _ a,._ .._.=s<5« �.ck1 .�.c�n _ :. > . .,,... <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> x.0125$ ,35 <br /> (contract price) (minimum$35.00) <br /> 2. STAT SURCHARGE **Add the State <br /> �Bldg <br /> �Code Div.Surcharge(Minimum Fee of$.50) <br /> G�7�`5b / 'n ) <br /> x.0005 $ /. U V <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> .10 G1 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> • * CONTRACT I`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 jbb cost, the City may request the submission of a signed copy of the actual contract. <br /> • **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <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 /> Applicant's Signature. .A „,. Date: <br /> 3 3t0 <br /> 1 <br /> Reset Form <br /> '-::::: 7J':'f:''''' ' <br /> III <br />