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03-26—'18 13:28 FROM— 1-714 P0003/0004 F-184 <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> Q Yes,this section applies <br /> The replacement of a,Residential fixture or appliance that meets all three of the following requirements: <br /> I. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;pAgEng 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 S 5.0Q <br /> Mail-In Fee(if Applkable) S 2.00 <br /> Total Permit Fee $ <br /> PERMIT PEE CALCULATION(S) JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> I, CONTRACT PRICE b is 1.25%of cot tr t// Ice with a(,Minimum Fee of$50.00) <br /> tairrd* <br /> LOMAT ATILMJ) <br /> 2. MATE S ftCUARGE 'VA G.4i <br /> • <br /> 3. POSTAGE&HANDLING(Only on Mlail•In Applications) <br /> 91 <br /> 4. TOTAL,PERMIT FEE(Add Lines 1-3 Above) " i°lt .1:'��?., <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 /> 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. f / <br /> Applicant's Signature: AJ, 15:0-3 <br /> Af <br /> 3 <br />