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� . . <br /> . r <br /> PERMTT k'�E CALCYILATYON(51 ~ � <br /> 20 2 State Statute � Yes, This Section Applies <br /> The replacement of a �tesidential f xture or appliance that meets all three of the following <br /> requirements: <br /> 1) Does not require nlodification t.o electrical or aas service. <br /> 2) Has a total cost af$SOO.OQ or less; excludina the cost of the fixture or appliance: <br /> and <br /> 3) Is impraved, installed or replac ed by the homeowner or licenced contractor. <br /> Skip next secuon; Cost of Permit $ T5.00 <br /> � State Surcharge $ .50 <br /> Mail Yn �ee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract price* is .�125 � of job with a 11�Iinimum Fee of ($35.00�, <br /> x .0125 $ <br /> (contr;tct price) (minimum$35.00) <br /> Z. State �urcharge. ** Add the State Building Code Division a (IYluumum Fee of $ .50) <br /> x ,0005 $ � <br /> (con��act price) (minimum$ .�0) <br /> 3. Post e and Handlin (Qnly mail-in applicarions) $ 1_50 <br /> 4. TOTAY.PERt�IIT F�E (Add lines 1-3 above) $ (�; o�` <br /> * CONTT�ACT PRICE or 70B COST means thE:accual or estimaced dollar amount eharged for the permitted <br /> work including materials,labor,profiL, and odier fixed costs. It is rhe amoun[to be chazged to�he customer <br /> for the work done. If any material, equipmer�t, labor, or installation are furnished by the owner,tenani or <br /> any other parry th�reasonable market value cf such items musc be added to rhe estimated cost or contrac� <br /> � price for permi�fee purposes. In the event r.hac there is a dispute on�he amount of the job cost, the Ciry may <br /> request the submission of a signed copy of thc actuat eontraec. <br /> *# The STATL SURCHARG�is .0005 of the coi�tract price under 51,000,000 or S.50 -whichever is grea[er. <br /> For valuations over$1,000,000 call the Department of Inspeetioa Services for the price. . <br /> The undersigned hereby applies to the City f��r issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinanc�:s of the City and the regulations of the State of <br /> Minnesota, and certifies that all statemenu made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: / . Date: �/�v�/ <br />