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PERNfIT �E CALCYJ'I,ATTON(Sl ' <br /> 20 2 State Statute Yes, This Sec�tion Appiies <br /> The replacement of a �tesidential fixture or appliance that meets all three of the following <br /> requirements: <br /> 1) Does not require modificauon t.o electrical or bas service. <br /> 2) Has a cotal cost of$500.00 or less; exc di Q the cost of the fixture or appliance; <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next seccion; Cost of Permit $ r5.00 <br /> State Surcharge $ .SO <br /> Mail Tn Fee $ 1.50 <br /> �f above does not apply, follow guidelines below: <br /> 1. C�ntract Price* is .�125 70 of job with a Nlinimum Fee of ($35_00) <br /> x .0125 $ �' <br /> (caatr,ict price) (minimum$35.00) <br /> 2, State Surcharge. *�` Add the State Bnilding Code Division a (11�iinimum �'ee of $ .50) <br /> .. x,,0005 $ � <br /> (con�•act price), � (minimum$ .�0) <br /> 3. Posta�,e and Handling (Qnly mail-in applicarions) $ 1_50 <br /> 4. TOTAY. PER�'IIT F'�E (Add lines 1-3 above) $ � �. c� <br /> * CONTF�ACT PRICE or JOB COST means the actual or estima�ed dollar amouni charged for the permitted <br /> work including materials, labor,profit, and odier fixed costs. It is:he amount to be charged to the customer <br /> for the worlc done. If any material, equipmeric, labor, or installation are furnished by the owner, tenant or <br /> any other party th� :easonable market value of such i[�ms must be added to the estimated cost or contraec <br /> price for permi[fee purposes. In the avent thac there is a dispate on the amoun[of[he job cost. [he Ciry may <br /> reques�the submission of a signed copy of thc actual contract. <br /> ** The STATE SURCHARG�is .0005 of the coi�trac�price under S1,OOO,Q00 ar S.SO - whichever is grea�er. <br /> For valuations over�1,Od0,000 call the Depacunen�of Inspeetion Services for the price. . <br /> The undersigned hereby applies to the City fi�r issuance of a Plumbing Pemut, agrees to do all <br /> work in suict accordance with the ordinanc�:s of the City and the regulations of the State of <br /> Minnesota, and certifes that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature � Date: I 11�/� <br />