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. . <br /> PE ECAL NS <br /> �402 State 5tatute Yes, This Section Applies <br /> The replacement of a Resi n ial fi cture or a liance that meets all three of the following <br /> requirements: . <br /> 1) Does not re uire modification to electrical or gas service. <br /> 2) Has a total st of$500.00 or less; excludin� the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, talled or replaced by the homeowner or licenced contractor. <br /> Skip next section, Cost of Permit $ _ 15.00 <br /> State Surcharge $ .SQ <br /> Mail In Fee $ 1.50 <br /> If above does not apply, follow guidelines elow: <br /> 1. � Contract Price* is .0125 % of job a Minimum ee of 35.00 <br /> �`{' V V .0125 $ <br /> . (c ntract price) (minimum$35.00) <br /> 2. State Surcharge. '"* Add the State B ' ding C e Division a (Minimum Fee of$ .50) <br /> x .0005 $ <br /> (contract price) (minimum$ .5 <br /> 3. Postag,e and Handlin� (Only mail-in applications) $ SO <br /> 4. TO�'AL PERMIT FEE (Add lines 1-3 above) � $ •� <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cha ed for the permitted <br /> work including materials, labor,profit,and other fixed costs. It is the amount to be charged to the customer <br /> for the work done, If any material, equipment, labor,or installation are furnished by the owner, tenant or <br /> any other party the reasonable market value of such items must be added to the estimated cost or contract <br /> price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,the City may <br /> request the submission of a signed copy of the actual contract. <br /> '"* The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50-whichever is greater. <br /> For.valuations over$1,000,000 call the Department of Inspection Services 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 State of <br /> Minnesota, and certifies that all statements made on. this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: �3( �� � <br />