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.4)04 09:2ipn Front;l'`' OF OP,ONO <br /> +95224;4616 1-642 P )03/003 F-607 • <br /> LM-M-11 FEE CALC>l,'I..ATIono <br /> 0 State r e '7 YeS, This Section Applies <br /> The replacement of a R�sidenn aj fixture or M nee that meets all three of the following <br /> requirements- <br /> 1) D-0—es not require modification to electrical or gas service. <br /> 2) Hasa LQLg cos of$500.00 or <br /> and less; g,eluding The cost of the fixture or appliance: <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next section; Cost of Permit $ lS.00 <br /> State Surcharge $ SO <br /> Mail In Fee $ 1 59 <br /> If above does not apply, follow guidelines below: <br /> I. <br /> C==.-Price* is .0125 % of job with a Ylinimum Fee of 5.00 <br /> i _o2sy <br /> X .0115 $ _�3 <br /> (contract price) (rninimum S35.UGT <br /> State Surcharge. *` Add the State Building Code Division a (Minimum Fee of$ .501 <br /> __15y X .0005 $ I, &3 <br /> (contract price) (minimum$ .SG) <br /> 3. FJQ-5129e and Han4Ug (Orly mail-in applications) g 1 <br /> ..._ 50 <br /> 4. TOTAL PERMIT FEE (Add lines 1.3 above) S �, 7J0 <br /> CONTRACT PRICE or JOB COST means the actual or estimated do:la_,amount charged for the permitted <br /> work including rnaterials, labor,profit,and other fixed costs. h is the amount to be charged to the customer <br /> for the work done. If any material, equipment, labor,or installarion are furnished by the owner, tenant or <br /> any other parry the reasonable market value of such items must be added to the estimated cost or contract <br /> price for permit tee purposes. In the event that there is a dispute on the amount of he job cost, the Ciry may <br /> request ft submission of a sighed copy of the actual contract, <br /> The STATE SURCHARGE is .0005 of the contract price order$1,000,000 or S.50 - whichever is greater. <br /> For valuations over$1,000,000 call the Deparrment of Inspection Semices for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the Staof <br /> Minnesota, and certifies that all statements tradete on this application are complete, true and <br /> correct. <br /> Applicant's Signature: <br /> ---- Date: <br />