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A ` , � r <br /> � ; ! ' <br /> � - � _ t/�: <br /> ; ' , ' � :,.; <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes This Section Applies <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; excludin�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 Minimum Fee of($35.00) <br /> �.f,c�c.`�-� x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State SurcharEe. ** Add the State Building Code Division a Minimum Fee of($ .50) <br /> x .0005 $ <br /> (contract price) (minimum$.50) <br /> 3. Posta�e and Handling (O�zly niail-in applications) $ 1.50 <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 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 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 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 /> The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with <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 /> Applicant's Signatur���, �C�i�.,��.Gz./ �- Date: �%�� <br /> Approved By: Date: <br /> 3 <br /> . . . _ .. . , . . \ . . .. . . , 7 . . .. .� � � . . � : : .. . �: ' . .�:��.. .. <br /> � . _\/ . . . . � . . . .. . <br /> � � � � ' .. . .. . t . . ... .� . . � fi � . . . � . ... �.�. <br /> ' ' . . 2 . . 1 . . , . � . <br /> , : 1 S . 3. _ x;. _ � <br />