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. . 4 <br /> PERNIYT E CALC'C)2,ATTON S <br /> 20 2 State Statute �Yes, This Section Applies <br /> The replacement of a �tesidential f xture or a�pliance that meets all three of the following <br /> requirements: <br /> 1) Does not require modifica�ion 1.o elecuical or ;as service. <br /> 2) Has a total cost af$SOO.QO or less; exctudina the cost of the fxture or appliance: <br /> and <br /> 3) Is impraved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next secuon; Cost of Permit $ r5.00 <br /> � State Surcharge $ .S <br /> Mail Tn Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1. Contract 1'rice* is .0125 Io of job with a 1�Iinimum Fee oF ($35.00) <br /> x .0125 $ <br /> (cantr:tct price) (minimum$35.00) <br /> 2. State Surcharge. *�` Add the State Building Code Division a (11�linirnum Fee of $ .50) <br /> � x .aoos � � <br /> (con�•act price) (minimum$ ,50) <br /> 3. Posta�e and I�andlin� (Only mail-in applications) � 1.50 <br /> 4. TOTAY. PER'�IIT F�E (Add lines 1-3 above) $ /7� C�� <br /> * CONTF.ACT PRICE or JOS COST means thE: accual or esama�ed dollar amounti charged for the permitted <br /> work ineludiq,materials, labor,profit, and od�er fixed costs. It is rhe amount to be eharged to che customer <br /> for the work done. If any material, equipme«t, labor, or installation are furnished by the owner, tenant or <br /> any other parry the reasonable market value cf such items must be added to the estimated cost or contrae� <br /> � price for permit fee purposes. In the event thae there is a dispute on the amount of[he job cost, the Ciry may <br /> request the submissioa of a signed copy of thc accual contcact. <br /> ** The STATE SURCHARGE is .0005 of the contract price under S1,OOQ,000 or S.50 -whichever is greater. <br /> For valuations ovcr 51,000,000 call the Departmenc of Enspection Services for the price. . <br /> The undersigned hereby applies to the City f��r issuance of a Plumhing Permit, agrees to do all <br /> work in strict accordance with the ordinanc�:s of the City and the regulatians of the S�ate of <br /> Minnesota, and certifies that all stacements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: � ���.��9 Date: 7��7 0 _ <br />