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I <br /> 1 ' <br /> , PERMIT FEE CALCULATION(S) <br /> � BASED OFF -2002`STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacemeut of a Residential fixture or appliance that meets all tlu-ee of the following requirements: <br /> 1. Does not require modification to electrical or gas seivice. <br /> 2. Has a total cost of$500.00 or less;excludin�the cost of the fixh�re 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 /> PERMIT FEE CALCULATION(S) -JOBS OVER$500.00 -� <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT YRICE *is 1.25°/o of conhact price with a(Minimum Fee of$35.00) <br /> ��� x .0125$ ��� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> ��v�� y <br /> X .000s $ <br /> (contract price) (minimum$ .�0) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ <br /> 4. TO"I'AL PERMIT FEE(Add Lines 1-3 Above) $ l U�!i U 'Q-t'o O <br /> ■ * CONTRACC PRICE or JOB COST means the actual or estimated dollar amotmt 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 conh�act price for permit fee puiposes. In the event that there is a dispute on the <br /> amaun. cf;he job cost, the C:ty may reqaest the subrriission ef a sibned copy of the achial CQS1C1'2CC. <br /> ■ ** The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHATIICAL 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 are complete, h-ue and <br /> correct. <br /> v/ � � -� -O <br /> A� licant s Si ature: l,4i�2� Date: � g <br /> }P b� <br /> 3 <br />