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PERMTT FEE CALCULATION(S) � � � � <br /> BASED OFF -2002 STATE STATUE �� ° ° <br /> ❑ Yes, this section applies <br /> Tlie replacement of a Residential fixture or a�pliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas se�vice. <br /> 2. F[as a total cost of$500.00 or less;excluding the cost of the fixtm-e or appliance: and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section, if this applics; Cost of Permit $ 15.00 <br /> State Surcharge � 5.00 <br /> Mail-In Fee(If Applicable) $ 2.00 <br /> Total Permit Fee $ <br /> � PERMIT FEE CALCULATION(S)-JOBS OVER$500.00 �� � � � <br /> If above does not apply;follow guidclines below: <br /> 1. CONTRACT PRiCE * is l.25%of contract price with a(Minimum Fee of$50.00) <br /> t�(,%C� x .0125 $ `_'� C.% <br /> (contract price) (minimum$50.00) <br /> 2. STATF.SURCHARGE � <br /> � '7C'�C�' X .000s � ��� � <br /> (contract pricc) <br /> 3. POSTAGE&HANDLiNG(Only on Mail-In Applications) $ 2.00 <br /> `--, <br /> 4. TOTAL PERMiT FEF.(Add Lines 1-3 Abovc) $ r7 �• '� `� <br /> ■ * CONTRACT PRTCE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted wark including materials, labor,profit, and other fixed costs. It is the unount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are funiished by <br /> the owner, tenant or any other pariy, the reasonable market value of such items must be added to thc <br /> estimated cost or contract price for permit fee purposes. In 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 conh-act. <br /> MECHANICAL 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 co�nplcte, truc and <br /> correct. <br /> Applicant's Signature: �� v�� �� Date: �� �'`l � <br />