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w <br /> . � <br /> PERMIT P�EE CALCt1LATION(S) <br /> BASED OFF - 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or a�pliance that meets all three of the following requirements: <br /> l. 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:and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contraetor. <br /> Skip next section, if this applies; Cost of Permit $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-1n Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PERMIT F'EE CALCULATI{�� S .-.,��B°�.C������t1�A0 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of ntract price with a(Minimum Fee of$�S�) <br /> � 5 5� <br /> ' x.0125$ <br /> �ontract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the tate Bldg Code Div. Surcharge(!�tinimum Fee of$50) <br /> / �,�j�, <br /> x .0005 $ ,� � �j..J"� <br /> (contractpricc) (minimum$ .�0) <br /> 3. POSTAGE&HANDLING (Only on Mail-In Applications) $ 1.5Q <br /> �- y� �1 <br /> 4. TOTAL PERMIT FEE(Add Lines I-3 Above) $ �'��l/ ���� � � <br /> • * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted 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 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 sib ed copy of the actual contract. <br /> ■ **The STATG SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLIGATI(JN 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 /> lv - -n <br /> Applicant's Signatu � Date: � V� <br /> , <br /> Reset Form <br /> 3 <br />