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$ <br /> PERMIT'IEE-CALCUI.ATI©N(S) = <br /> BASED=UFF_-2002 STATESTA.TTE . <br /> 0 <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 $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> -PERM FEE'CALCILATION(S)='7 3I S IO ER-$5`00.0€} <br /> If above does not apply,follow guidelines below: <br /> L CONTRACT PRICE *is 1.25%of contract price with a{Minimum Fee of$35.00)2 �t� ao' x.0125$ ZG '7 <br /> (contract price) ( <br /> S.35.4-J0) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of$.50) <br /> 2 t '17.° x.0005 $ 0i <br /> (contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.5Q <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ li l .�� <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 /> • **The STATE SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICALPERMI'I`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. <br /> Applicant's Signature: Date: '"'' <br /> 3 <br />