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04-18-'18 '13:35 FROM- T-810 P0003/0005 F-288 <br /> PERMIT FEE CALCULATION(S) <br /> BASED OFF-2002 STATE STATUE <br /> 0 1'es,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 Penn it $ 15.00 <br /> State Surcharge $ 5.00 <br /> Mail-In Fee(If Applicable) $ 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 1.23%offcontract rite with a(Minimum Fee of$50.00) <br /> 15313 x.0125$ V� <br /> (Contract price), on anim Sg0.00) <br /> 2. STATE SURCHARGE <br /> )c <br /> )3°' <br /> x.0003 $. �1 <br /> (contract prise) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 3. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ LI <br /> ■ s 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 flunished 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 fcc 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 arc complete, true and <br /> Correct. <br /> Applicant's Signature: Ji _. Date: 0 <br /> 411, <br /> 3 <br />