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PERMIT E CALCUZ.ATTON S , ' <br /> � - � <br /> 20 2 State Statute � Yes, This Section Applies <br /> The replacement of a �tesidential fixture or appliance that meeu all three of the followin� <br /> requirements: <br /> 1) Does not require madificadon i.o electrical or gas service. <br /> 2) Has a cotal cost of$500.00 or less; exciudinQ the cost of the fixtuxe or appliance: <br /> and <br /> 3) Is improved, installed or replared by the homeowner or licenced contractor. <br /> Skip next secuon; Cost of Permit $ r5.00 <br /> � 5tate Surcharge $ .SO <br /> Mail Yn Fee $ 1.50 <br /> �f above does not apply, follow gttidelines below: <br /> 1. C�ntract pri�e* is .0125 7 of job with a l�Iinimurn Fee of ($35.00) <br /> x .0125 � <br /> (cantr;ict price) (minimum$35.00) <br /> 2. State urcharQe. *� Add the State Building Code Division a ('iViinimum Fee of $ .50) <br /> x ,OOOS $ � <br /> (cono•act price) (mirumum � .�0) <br /> 3. Posta�e and Handlin� (Ouly mail-in applications) � 1.50 <br /> 4. TOTAY. PER�IIT F�E (Add lines 1-3 above) $ <br /> * CONTFACT PRICE or JOB COST means thE:actual or estimaced dollar amovn�charged for the permitted <br /> work zncludir�materials, labor,profit,and odier fixed costs. It is che amoun�to be charged to the customer <br /> for the work done. If any material, equipmer�t, labor, or installation are furnished by the owner, tenant or <br /> any other party th� reasonable market value af such i[ems must be added to the estimated cost or contract <br /> price for permit fee purposes. In the event thac there is a dispute on the amount of[he job cost, the City may <br /> request the submission of a signed copy of thc accual contract. <br /> ** The STAT�SURCHARG�is .0005 of the contract price under 51,000,000 ar S.50 -whichever is greater. <br /> For valuations avcr�1,000,000 call the Deparunen�of Inspection Services for the price. <br /> Th� undersigned hereby applies to the City fi�r issuance of a Plumbing Pennit, agrees to do all <br /> work in strici accordance with the ordinanc�:s of the City and the regulations of ihe State of <br /> Minnesota, and certifies that all sta[ements made on this application are eomplete, true and <br /> correct. <br /> �.� ; <br /> Applicant's Signature: - � Date: — _�- <br />