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10-04—'17 09:35 FROM— 1-879 PO003/0004 F-247 <br /> • <br /> PERMIT.FEE CALCV;ATIQN(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 /> 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 $ I5.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Pee(If Applicable) $ 2.00 <br /> Total Permit Pee $ <br /> . 'PERMIT FEE CALCULATIONS),H J'OB$OYER$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 /> 1014 <br /> • 1 1. LOOS S !C_r".Y(^.`..:1'+:_!..t.77.1V •�V <br /> 2. STATE SURCHARGE 1 <br /> r O c c $4 <br /> ,1 f ,��,'E x;0065;$) <br /> gig <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) 06r;;,,, <br /> /1 <br /> ' „Va i <br /> 4. TOTAL PERMIT PEE(Add Lines 1-3rt.,- � � �::,.'� ;�1 <br /> Above) �;:��'� .�sA:r:4.1`�.-: : <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 • this application are complete, true and <br /> correct. <br /> Applicant's Signature: 1 kr/ ��te:� <br /> •3 <br />