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. <br /> �,. ' PERMIT FEE CALCULATION(S) <br /> 4 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. YIas a total cost of$500.00 or less;excludin�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 Pernut $ 15.00 <br /> State Surcllarge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT FEE CALCULATION(S)—JOBS �VER$500.00 � <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of conhact price with a(Minimum Fee of$35.00) <br /> �v f�t;�C� x .0125 $ <br /> (con[act price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) <br /> x .0005 $ <br /> (contract price) (minimum$ .�0) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMI'T FEE(Add Lines 1-3 Above) $ <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 fiirnished 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 peimit fee pu►poses. In the event that there is a dispute on the <br /> amaunt cf t�e jo� cast, t�e City may reqaest the subinissi�r. of a sibr.ed cop; �f±h? 3Cl?lu! c�i?tract. <br /> ■ ** Tl�e STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHA1vICAL 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 thc ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, t�-ue and <br /> correct. <br /> �— <br /> A�plicant's Signature: ��`- �i � Date: � � �G ���7 <br /> 3 <br />