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� �� PE�RMIT FEE C�LCUL�TION{S} � � � �� � <br /> � � BASED�OFF -2{�02 STATE STATUE ��� �� <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or ap liance that meets al l 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;excludine 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 $ 5.00 <br /> Mail-In Fee([f Applicable) $ 2.00 <br /> Totai Ferm�t Fee $ <br /> � �� ��,� �����.; ,.. <br /> �� ,� ���,�� , ' ��.. ��� ,. <br /> ,•. ,,,,�..�. ' ,.., ° = <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �PC;(��, �� X.o�2s � '1� �bC) <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE ���� �r� x.0005 $ � � � <br /> l, <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��t �� <br /> ■ * CONTRACT PRICE er JOB C4cT means t.".e actual o; cstir}ateu duiiac amuunt 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. [n 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 /> � .� �� -, <br /> ; <br /> ` =`�'�'����`�` . , ,�' ,�-: , . i ��i��: T` � �<.. <br /> �li.,-., a . .. . <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 /> �PPlica;�t'� S;gaature: �d'��`� Uate: <br /> 3 <br />