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r <br /> , , <br /> PERMIT I�'EE CALCULATI N S <br /> 2002 State Statute Yes, This Section Applies <br /> The replacement of a Residential fixture or a�pliance that meets all three of the following <br /> requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less; excludin� 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 section; Cost of Permit $ 15.00 <br /> State Surcharge $ .SQ <br /> Mail In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1, Contract Price* is .0125 % of job with a Minimum Fee of ($35.001 <br /> , <br /> � X .olzs � � 15 .�. <br /> (contract price) (minimum $35:�9) <br /> I 5,��o <br /> 2. State Surcharge. ** Add the State Building Code Division a (I�iinimum Fee of $ .50) <br /> x .0005 $ • 5� <br /> (contract price) (minimum $ .50) <br /> 3. Posta�e and Handlin� (Only mail-in applications) $ 1.50 <br /> —7 , <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ � ! � �G <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor, profit, and other fized costs. It is the amount to be charged to the customer <br /> for the work done. If any material, equipment, labor, or instaIlation are furnished by the owner, tenant or <br /> any other party the reasonable market value of such items must be added ro the estimated cost or contract <br /> price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may <br /> request the submission of a signed copy of the actual contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. <br /> For valuations over $1,000,000 call the Department of Inspection Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> , ��d3 <br /> Applicant's Signature: Date: � <br />