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PERMIT F�E CALCUZATION(S) � <br /> _ _ , <br /> 20 2 State Statute Q Yes, This Sec�tion Applies <br /> The replacement of a �tesidential f xture or appliance that meets alI thr�e of the following <br /> requirements: <br /> 1) Does not require modificacion 1.o electrical or bas service. <br /> 2) Has a cotal cost af$500.00 or less; exciudina the cost of the fxtuxe or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next seccion; Cost of Perinit $ r5.00 <br /> State Surcharge $ .SO <br /> Mail Tn Fee $ 1.50 <br /> �f above does not apply, follow guidelines belaw: <br /> l. C�ntract Price* is .0125 � of job with a 11�Iinimum Fee oF ($35.00) <br /> x .0125 $ <br /> (cantr;tct price) (minimum$35.00) <br /> 2. State �urcharge. ** Add the State Building Code Division a (IVlinimum Fee of $ .50) <br /> x .0005 $ � <br /> (cono•act price) (minimum� .�0) <br /> 3. Posta�e and Handlin� (Only mail-in applicarions) $ 1.50 <br /> 4. TOTAY. PERI�IIT F�L (Add lines 1-3 above) $ <br /> * CONTF.ACT PRICE or JOB COST means thf: actual or es�ima�ed dollar amouni charged for the permitted <br /> work includiq,materials, labor,profii,and odier tixed costs. It is rhe amoun�to he chazged to the cusiomer <br /> for the wosk done. If any material, equipmer�t, labor, or installation are furnished by the owner, tenant or <br /> any other parry th� reasonable market value of such items must be added to ttie essimated cost or contract <br /> price for p�rmit fee purposes. In the avent thac there is a dispate on che amount of the jab cost, the Ciry may <br /> reques[the submission of a signed copy of thr acnial contracc. <br /> ** The STATE SURCHARG�is .0005 of the coiitract price under S1,OOQ,000 ar S.50 - whichever is greater. <br /> For vaIuaiions ovcr�1,000,000 call the Department of Enspection Services for the price. . <br /> Th� undersigned hereby applies to the City f��r issuance of a Plumbing Peimit, agrees to do all <br /> work in strict accordance with the ordinanc�:s of the City and ihe regulatians of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true aud <br /> correct. .� <br /> � <br /> � <br /> A licant's SiQnature: - �� � Date: �"�,.�" � � <br /> Pp a _ <br />