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08/18✓2844 09:19 FA% 7B3 591 6071 IVERSON f�j003 <br /> y . <br /> PERMIT FEE CALCULA'r'ic�rrr� L7r' �� �!' � _� I _ <br /> �� G�,�3 LA'it-c. <br /> 2002 State Statute [] Yes, This Section Applies <br /> The replacement of a Residential �xt� or ap ' nce tb$t meets all three of the following � <br /> requirements: � <br /> 1) Does not require modification to elec'trical or$as service. <br /> 2) Has a a cos of$500.00 or less; exclu� 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 secdon; Cost of Permit S 15.00 <br /> State Surchazge $ _�p <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 ��imum Fee of(�3� 001 . <br /> _ ���- � .x .0125 S <br /> (con�act price) (minimum 535.00) . <br /> 2. �tate Surchar�e. '�* Add the State Building Code Divisioa a (tiTuumum Fee of$ .50) <br /> �20 0 � x .0005 S <br /> (contract price) ��m�� ,jp� <br /> 3. Pos�ge and Handlin� (Only mail-in applications) S __ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) S <br /> * CONTRACT PRICE or JOB CO3T means the actual or estimated dotlar amow�t chazged for the permittsd <br /> � work including materials,labor,prafic�and other ft�ced eosts. It is the amount to b�chazged to the customer • <br /> for the work done. If any material, equipment� [abor. or installation an furnis�ed by the owner� tenant or <br /> any othec party the reasonable market valut of such items must be added to rha estimated cost or contract <br /> price for permit fee purposes. In the event tha.t ihere is a dispute on the amouut of the job cost,the Ciry may <br /> 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 5.50 -whicbever is greater. <br /> For valuations over$1,000,000 call tbe Departmeat of Inspectian Services for t�ie price. _ <br /> . The undersigned hereby applies to the City for issuanc� of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordi.nances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application azz complete, true and <br /> correct. <br /> Applicant's Signa e: gf(�-� . <br /> Date: <br />