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. i <br /> � <br /> PERMIT FEE CALCULATION(Sl <br /> 2002 State Statute ❑ Yes, This Section Applies <br /> The replacement of a Residential fixture or ap liance that meets all three of the following requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of $500.00 or less; excludin� the cost of the fixture or appliance: and <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next section; Cost of Permit � 15.00 <br /> State Surcharge $ .50 %-d <br /> �Nail In Fee � 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract Price* is .0125 % of job with a Minimum Fee of f$35.001 <br /> a/S�.�7o x .0125 � �,j �' <br /> (contrac: pricej (minimum $35.00) <br /> 2. State Surcharge. ** �dd the State Building Code Division a (Minimum Fee of $ .50) <br /> x .0005 $ % � � <br /> (contract pricei (minimum$.�0) <br /> 3. Postage and Handling (Onlv mail-in applications) � 1 .�� <br /> 4. TOTAL PER'VIIT FEE (Add lines 1-3 above) $ '-� 7 �� <br /> * CONTRaCT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work <br /> inc;uding rnaterials, iabor, prcfit, and e:hF'� fi�ed costs. It is the amoun! to be charged to the customer for the ;vork <br /> done. [f any materiai, equipment, labor, or installation are furnished by the owner, tenant or any other party the <br /> reasonabie market value of such items must be added to the estimated cost or contract price for permit fee <br /> purposes. In the event that there is a dispute on the amount of the job cost, the City may re�auest the submission <br /> of a signed copy of the actual contract. <br /> ** The STATE SLRCHARGE is .0005 of the contract price under $1,000,000 or $.�0 - �.vhichever is greater. <br /> For valuations over$•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, agree� to do all work <br /> in strict accordance with the ordinances of the City and the regulations of the State rf :4linnesota, and <br /> certifies that all statements made on this application are compiete, true and correct. <br /> � <br /> �r . <br /> App(icant's Signature: vJ r ���v�� Date: �� , �6 <br />