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� <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <br /> The 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 service. <br /> 2) Has a total cost of$500.00 or less; escludins 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 $ ]5.Q0 <br /> State Surcharge$ .50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> �� <br /> 1. Contract Price* is .0125% of job with a Minimum Fee of(�3�.00) (5 , <br /> °� Y .0125 $ <br /> (contract price) � (minimum$3�.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of(� .50) <br /> Y.0005 $ • �Ci <br /> (contract price) (minimum$.�0) <br /> 3. Postaae and Handtina(Only mail-in applications) $ 1.50 <br /> 11 .o�o <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ ,�! <br /> `CUN"fIZACT PRICE or JOFs COST means the actual or estimated dollar amount charged for the permitted work including <br /> materiais,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 fumished by the owner,tenant or any other party the reasonable market value of such items <br /> must be added to the estimated cost or contract price for pzrmit 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-�vhichever is greater. For valuations over <br /> $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do afl work in strict accordance with <br /> [he 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 /> 5-_\�r��' <br /> Applicant's Signatur� � � �,� Date: y, ' `—.(CZ <br /> Approved By: Date: <br /> . ^ <br /> � <br />