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Apr-22-2003 03:lOpm From-CITY OF GRONO +952Z494616 T-328 P.003/004 F-493 <br /> PIERMIT FE���LCULATION(S) <br /> 2�U�State Statut� ❑ Yes This Section 4pplies <br /> The rcplacement of a Residential fixture or a Iiance that mccts all three of the fo1lowing requirements: <br /> ;) Does not requirc modiftCaiio�to eieCtrical or gas service. <br /> 2) Has a al cost af$500.00 or 1esa;excludin�the cost of the fixturc or appliance: <br /> and <br /> 3) Is ut�proved,installed or replaced hy the homeowner or licensed eontractor. <br /> Skip next section; Cost af Permit $ 15.UU_� <br /> Stazc Surcharge$��4 <br /> Mail-In Fae $ :.50 <br /> If above does not apply,fallow guidelines below: <br /> 1, Contract Price* is .0125%of job with a Minimum Fee of �35.OU � i <br /> C x_D125 $ 1 �.� � <br /> (contYact pricc) (minimum�35-00) <br /> 2.State Surchar„ge. '�'� Add the Sta:e Building CQde nivision a enimum Fee of S.50 ^ �� <br /> C � <br /> x.0005 S l <br /> (cantrfut pricc) (minimum S.50) <br /> 3.Postu e and T�aY►dlin (Only�rnaiC-in applrtations) $ <br /> AY.PERIVIJ[T FEE A.dd lines l-3 abo��e) � ��� t� � <br /> �.TOT ( <br /> 'CO1hTR.AC"P PRICE or i�I�COST mear.s tk;Z actual or�tirnRted dollar BYriount chlrgad fot ihe permiltrd wprk includir.g <br /> mac:ritals,labor,profit,and other fixed Casts.It i3 the�moun[to 3z chargcd SO the customer fQr the work done.if any maceriol, <br /> equipmzn�,Iabor,ar ins2alfation'ss fumished by thZ DW71CC,tx:nant or any othcr pam the rcasonable marEcct value of sueh items <br /> must be addad ca the estimattd eos;or contract pricr i'or pern1it fec purposes.In the evenc chA��here is a dlsputz on the aznoant of <br /> th�job cosy the City may request:he submission of a si�ned copy of the actual conuact, <br /> *+Thr STAT�SURCFL4I�GE is.0(}4S o�the conZrRet price under$1,000.00p of$.SU-whichever is�rcatcr,Far va[uations over <br /> $I,QOU,OOU call the[5eparcment of inspectional ScrviCes for thn priea_ <br /> The undcrsigned hereby Epplies w thc Ciry�ar tssuan.e�f a R4cchanicall?crmic,�rees to do s!3 work in sn�icc Aeeordancc with <br /> tha ordiaanets of thc C iLy End the Yegulati0tls Of the Minnes0'a State Building Code,su�d certifics thsU all scatemrrfts made on ihis <br /> applieation arc compl�tt,true and correct. <br /> � � Dats: �__ �v �� <br /> ApplicanYs Si�rtaturc. -- <br /> Approved By: Date: <br /> . ^ <br /> a <br />