2005-P08756 - plumbing - Laserfiche WebLink

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, PERMtT FEE CALCULAT[ONIS) 2002 Stat�e Statute Yes,This SecHon A,pplies The replacement of a Re$�entiat fixhue or 'aru:e that meets aU ffiree of the follov�nng requirements: 1) not require modification to electrical or gas service. 2) Has a o 0o t of $500.00 or less; excludir� the a�st of the fixture or appliance: and 3) [s improved,installed or r�eplaeed by the homeowner or licenced oonh�a�ctor. Skip next section; Cost of Permit $ 15.00 State Surcharg�e $ .50 M�ii In Fee $ 1.50 If above does not apply, folbw guidelines below: 1. Contract Price'` is 1.25 96 of job with a Minim�t Fee of(535.00,� 3115� X.o�2s $ (�,r.�a c�) (�r,�s.00� 2. �tate 3qrcharge. •'�Add the State Buikiing Code Di� a (Mir�mam Fee of$ .50) x .0005 $ (ca�'act Price) (mi�mum$.50) 3. Pos��e and Haudiia� (Onty mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ $ COIYi'RACT PRICE or JOB COST means the �ctual or estimated dollar siraunt chaeged for the permitted work inctudiog materials,laba,pr�t,and other�C9 r.c�ts. It is the amamt to be charged to the customer for the�uork d�e. If eny trmterial, eqaipmeni, lsbor, �installation ffie ftaruished by the ormer, tee�ant or mry other party the reasonsble market value of such items must be added to the estimated cost or c�trad price for permit fee purposes. In the event that fhere is a dispute on ttre amount of the job c�t, the City may request the submis�on of a signed copy of tt�actual contracl. •• The S7'A7E SURCEiARCE is .0005 of the coNract prioe u�r $1,000,000 or $.50-rvhichev�er is greater. For valuations over$1,000,000 c�lt tt�Deperttnent of In�ion Servk�es for the prioe. The undersigned hereby appties to the C"ity for issuance of a Plumbing Pernut, agrees to do all work in strict accordance with the ordinances of the City and the regtila�ons of the State of Minnesota, and certifies tt�at all statements m�le on this ' are oo�lete,true au�d oorrect. Appticant's Signature: �--- Date: �✓ � � 0�✓