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� <br /> � � PERMIT FEE CALCULATION(Sj � <br /> . BASED OFF- 2002 STATE STATUE <br /> ❑ Yes,this section applies <br /> The replacement of a Residential fixture or appliance thaY 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;exc1udin�the cost of the fixture or appliance:and <br /> 3. Is improved, installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Permit $ 15.00 <br /> State Surcharge S .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> PE�MIT'�'E;�'�,�i�GULATION(S -JOBS OVER $500.04 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 125%of contract price with a(Minimum Fee of$35.00) <br /> IXV� x .0125$ "�✓ 'v `� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee ot$.50) <br /> 3�e�� X.000s $ 1- � <br /> (contract price) (minimum$ .�0) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) � L�0 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ ��f'" C� <br /> ■ * CONTRACT PRICE or JOB COST means the actua] or estimated dollar amount charged for the <br /> permitted work including materials, labor, profit, and other fixed costs. It is the ainount 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 signed copy of the actual contract. <br /> ■ ** The STATF SURCHARGE is.0005 of the Building Department at(952)249-4600 for the price. <br /> MECHANICAL PERMIT APPLICATION AG1�:�E�ENT <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 Tnade on this application are complete, true and <br /> correct. <br /> Applicant's Signature: L Date: � � � �� L i <br /> t <br /> Reset Form <br /> 3 <br />