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12/O1/2004 15:02 FAX 763 591 6071 IVERSON l�005 <br /> . <br /> PER,MIT FEE CALCYn.ATIONfSI <br /> 2002 State Statute � Yes, Tlus Section Applies <br /> The replacemeni of a Residentia Lcture or a liance that meets all three of the following � <br /> requirements: <br /> 1) Does �not require modification to electrical or gas service_ <br /> 2) �Tas a total cost of$500.00 or �ess; excludin� the cost of the fixnue ox appliance: <br /> and <br /> 3) Is improved, insta,lled or replaced b�' the homeowner or licenced conrractor. <br /> Skip ne�re sectivn; Cost of Permit S �5.00 <br /> State Surcharge S .SO <br /> Mail In Fee � 1.50 <br /> Tf above does noc apply, follow guideli.nes below: <br /> 1. Contract Price* xs .0125 % of job with a Minimum Fee of (S3�.00) <br /> ���� . �v x .0125 S <br /> (contract�zice) (mi.nimum$35_00) <br /> 2. �tate Surcharge. ** Add the State Building Code Division a (1�inimwn Fee of$ .50) <br /> �20 Q � x .0005 S <br /> � (con�act pricc) (utinimum$ .50) <br /> 3. Posta�e and �Tandling (Only mail-in applications) S 1.50 <br /> 4. TOTAL PERMIT FEE (Add liuies 1-3 above) 5 <br /> '" CONT'RACT PRICE or YOB COST means che accual or esti.mated dollar amo�z chazged for the permitted <br /> work including materials, labor,profi�,and orher fuced costs. I�is rhe asnoun�r.o be charged to the customer <br /> for the work don�. iF any material, equipment, labor, or installation are furnisied by the owaer, tenant or <br /> any other parry rhe reasonable mazket value af such items muse be added to�e estimaced eos[ or contract <br /> price for perrnit fee purposes. Ia the e,�ent that there is a dispute oa the amount of rhe job cost,the Ciry may <br /> request the submission of a signed copy of the acmal contract. <br /> '"'" The STAT�SURCHARGE is .0005 oP rhe contract price under$1,Q00,0(30 or S.SO -whichever is greater. <br /> For valuations over$I,000,000 call rhe Depar[ment of Inspeccion Services foc r�e price. . <br /> The undersigned hereby a�plies to the Ciry for issuance of a Plumbina Permit, aarees to do all <br /> work in scrict accordance with the ordinances of the Ciry and the re�ulations of the State of <br /> Minnesoca, and certifies that all stacements made on tIus application are complece, true and <br /> �ar�,'ect. <br /> Applicant'sSigna re: � Date: � l—a� <br />