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04-05—'18 13:44 FROM— 1-758 P0003/0004 F-230 <br /> t <br /> PERMIT FEE CALCULATION(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 /> I. 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 $ 15.00 <br /> State Surcharge $_ 5_,OQ <br /> Mail-In Fee(If Applicable) S 2.00 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JOBS OVER$500.00 <br /> If above does not apply;follow guidelines below: <br /> I. CONTRACT PRICE ::is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> 3115 C.r �/ <br /> � x.0]125$____)Q <br /> (contract price)` (minitlttim MOO <br /> 2. STATE SURCHARGE 9g1„/ 1 <br /> 96-rt <br /> x.0005 $ <br /> '(contract priee) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $' +2.00 <br /> 4, TO AL PERMIT FEE(Add Lines 1-3 Above) S <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 clone. 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 /> 1----1 MECHANICAL PERMIT APPLICATION AGREEMENT <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> Nvork 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 arc complete, true and <br /> correct. <br /> Applicant's Signature: 6.-521-4;;; ;;L"----- 'Date: <br /> 3 <br />