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, +� __ <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute �Yes This Section Applies � <br /> �$ <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; excludine the cost of the fixture or appliance: <br /> and <br /> 3) Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125% of job with a 1�Iinimum Fee of($35.00) <br /> ;::, <br /> �.30D.oo ` <br /> X .olas $ <br /> (contract price) (minimum$35.00) <br /> j:°; <br /> 2. State Surcharge. ** Add the State Building Code Division a Minimum Fee of($ .50) ,�;., <br /> � <br /> � �O� �� x .0005 $ �.�� <br /> (contract price) (minimum$.50) � <br /> x. <br /> 3. Posta�e and Handling (Only mail-in applications) $ 1.50 ,� <br /> ,�4. TOTAL rERMIT FEE (Add lines 1-3 abovc) � �3 . Q <::a <br /> � <br /> ::� <br /> :j <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including ;� <br /> materials,labor,profit,and other fixed costs. It is the amount to be charged to the customer for the work done.If any material, <br /> equipment,labor,or installation is furnished by the ow�ner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of <br /> 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 contract price under$1,000,000 or$.50-whichever is greater.For valuations over ,:� <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> T'he undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with 7 <br /> the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this ' <br /> application are complete,true and correct. <br /> ;`=; <br /> � MAY - 8 2003 <br /> Applicant's Signature�:% ' � Date: � � <br /> A roved B � � <br /> PP Y� l Date: � <br /> 3 <br /> ��; � � � ; , � ; � <br /> ; <br /> � � � � { � ' <br /> - , � . ..,.�. �t .� _ .. <br />