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08�/2004 09:20 FA% 763 591 B071 IVERSON I�J007 <br /> PERMIT FEE CALCULA (�N�S1 C� S�/(.�,d S�t C(f'�l'� <br /> � <br /> 2002 State Statute [] Yes, This Sec�ion Applies ' <br /> 1fie replacement of a Residential fixtu e or ap lian � that meets al�! three of the following � . <br /> requirements: <br /> I) Does not requi.re mod�fication to electrical or gas service. . <br /> 2) Has a tQtal cost of$500.00 qr less; g�tclud��the cost of the fixture or appliance: <br /> and - <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> � State Snrcharge $ .50 <br /> Mail In Fee • $ 1.50 <br /> If above does not apply, follow guideli.nes below: <br /> 1: Contract Price* is .Oi25 �b of job with a �Fee of(�35.001 <br /> . ��pC� � � x .0125 $. �. <br /> (contract price) (minimum$3S.Q0) <br /> 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ SO) <br /> � �� <br /> . 0. x .0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. Postage �d Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERNIIT FEE (Add lines 1-3 above) $ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amouat chazged for the permitted <br /> � work including materials,labar�profit.and other fixed costs. It is the amouni to be charged to the customer <br /> for the work done. If any material, equipment,labor,ar installation ar�fiunished by the owner, tenaat or <br /> any other party the reasonable market value of such items musi be added to the estimated cost or cona�act <br /> price for permit fee putposes. Iu the event that there is a dispute on the amount of the job cost,the Cin•may � <br /> request the submission of a signed copy of tbe actual contrect, <br /> ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.SO-whichever is greater. <br /> � For vaivations over$1,000,000 call t6e Department of Inspection Services for the price. . <br /> The undersigned hereby applies to the City for issuance of a Plumbing Pcrmit, agrees to do all <br /> work in strict accordance with the ordinances of the Ciry and the reguladons of t6e State of <br /> Minnesota, and cert�es that all statements made on this application are complete, true and <br /> correct. <br /> . <br /> Applicant's Signa e: � Date: ��� <br />