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I. � <br /> � <br /> , PERMIT FEE CALCLTLATION(S) <br /> ' 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 /> l. Does not require modification to elechical or gas service. <br /> 2. Has 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 homeov�mer or licensed contractor. <br /> Skip next section,if tlus applies; Cost of Pernut $ 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 PRICE *is 1.25%of contract price with a(Minimum Fee of$35.r00)'� <br /> ,a o 9 X.o�z5$ �i� - <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of 5.50) <br /> � � ( <br /> � � 0 9 X.0005 $ ��,�- <br /> (xontract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> / �3 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ / �/ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted 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 conn�act price for pernut fee purposes. In the event that fliere 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 /> MECHAI�TICAL 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, true and <br /> correct. <br /> Applicant's Signature: ,���� �� � Date: � �'0`'�� � <br /> ;.`,� <br /> �� � <br /> k; � <br /> ""� � �.� g � � — e"�''A!` <br /> �, � � � 1 <br /> ;.°� .�. ,�A.. :'._ .'�r._ �N.�.:x�t:w.Y�_.r.��u. � i�.':; <br /> � 1 :. x : <br /> , . .. .. . . ,.. . .._.. . ... . . . .,._ . _ .�. .. . . . ,..,,, ..,., ..,.:� . ._ _.r..�,.�zr.3... �.�. <br />