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j , . <br /> PERIVIY'T' �E CALC�7I,ATTON(S) <br /> 20 2 State Statute � Yes, This Section Applies <br /> The replacernen[ of a �2esidential fixture or appliance that meets all three of che following <br /> requirements: <br /> 1) Does not require modification t.o elecuical or aas service. <br /> 2) Has a cotal cost af$500.00 or less; excludinQ the cost of the �xture or appliance: <br /> and <br /> 3) Is improved, installed or replac ed by the hameowner or licenced contractor. <br /> Skip next secuon; Cost of Permit $ �5.00 <br /> � State Slircharge $ ._50 <br /> Mail Tn Fee $ 1.50 <br /> �f above does not apply, follow guidelines belo�v: <br /> 1. Contract price* is .0125 � of job with a 11�finimum Fee of ($3S.00) <br /> x .0125 $ <br /> (contr;ict price) (minimum$35.00) <br /> 2, State �nrcharge. *� Add the State Building Code Division a (1Viinimum Fee of $ .50) <br /> x ,OOOS $ � <br /> (con��act price) (minimum$ .50) <br /> 3, Post��e and I�andlin� (Only mail-in applicarions) $ 1.50 <br /> 4. TOTAY. pERNIIT F'�E (Add lines 1-3 above) $ (�; a�` <br /> * CONTRACT PRICE or dOB COST means thE:actual or esuma�ed dollar amoun�charged for the permitted <br /> work including materiais, labor,profic, and odier fixed costs. It is rhe amount to be charged to rhe customer <br /> for the work done. If any material, equipmecu, labor, or installation are fttrnished by the owner, tenanc or <br /> any other party tI�e reasonable market value cf sueh i[ems must be added to the estimated eost or contraec <br /> � price for permi[fee purposes. In the event chac there is a dispute on che amoun�of the job eost, �he Ciry may <br /> reqttest the submission of a signed copy ot thc actual contract. <br /> ** The STATE SURCHARG�is .0005 of the co�itracc price under 51,000,000 or 5.50 -whichever is greater. <br /> For vatuaiions ovcr$1,Ob0,000 call the Departmen�of Inspeetion Services for the price. . <br /> The undersigned hereby applies to the City f+�r issuance of a Plumbing Percnit, agrees to do all <br /> work in strict accordance with the ordinanc�:s of the City and the regulations of ihe State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's SiDnature: � Date: � /lv�/ <br />