Laserfiche WebLink
1 * <br /> . <br /> ' PERMIT � eAr,CULA_ TI_ pN(� <br /> 2002 S#ate S tu e [� Yes, This Secti4n Applies <br /> The replacement of a Residential fi�ture �r a Iiance that meets all ttuee of the foliowing <br /> requirements: � <br /> 1) Does not require moc}�cation ta electrical or gas service. <br /> 2) Has a totai cost of$Sflp,pp Q� jess; excl��e cost of the fixtuxe vr appliatiGe: <br /> and <br /> 3) Is improved, installed or repIaced by th� homeowner or licenced contractor. <br /> Skip next section; Cost of Permit S I5.00 <br /> State Surcharge � .50 <br /> Mail In Fee S �.54 <br /> If above does not apply, fallow gvidelines belflw: <br /> 1. Coirtract Priee* is .0125 % of job with a Niinimum F'ee of($3� 001 <br /> -- ��-~'��� 4� x .0125 S <br /> {contract price) (minitnum$35.UQ} <br /> 2. State Surcharge ** Add ihe State Buiiding Code Divisic�n a (li'inimtim Fee og$ .54) <br /> � <br /> - 72�--�� x .U04S S <br /> (contract przce) ����$ �} <br /> 3. Pgstage and Handiin� (OnIy mail-in applications) S 1.�0 <br /> 4. TDT'AL PERMIT FEE (Add lines 1-3 above) S <br /> * CONTRACT pRICE or YOB COST means the actuaI or estimated dollaz amo�char ed for the <br /> work inclnding materials,2abor,profi[,an�d ather�xed costs. It is the amount to be cha.�rged co the cust�olmer <br /> fvr the work done. If any material,equipment, tabar,or installation aze fttrni.�ied by the owner, teaamc ar <br /> any otber party the reasonable market uaiue of such items must be added ro t�e estimated cost or cantract <br /> price for permit fee purposes. In the event that there is a dispute on the amou�t QI the job cost,rhe Ciry may <br /> request the submission of a signed copy af t�e actuai contract. <br /> ** The STATE SURCHAR,GE is .tK105 of the contract price under$t,OQ0,000 or S.SO-whichever is greater. <br /> For valuations ever$I,OOO,p00 call the DePart�ent of Inspection Serviees for the price. . <br /> The undersigned hereby applies tv the City for issu�nce of a Plumbing Penmit, agrees to do aIi <br /> work in strict accordance with the orditna.nces of the City and the reQulations of the State of <br /> Minnes�ta, and certifies ihat aIl statements made on this appiication are complete, true arid <br /> correct. <br /> . <br /> Applicant`s Signa e: D���. /� 2 ,-0� <br /> l <br />