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5 <br /> - 4 <br /> PERMIT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes, This Section Applies <br /> The replacement of a Residential fixture or appliance 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 fi�ture 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 $ .50 <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 /> 3`fvo °a X .oi2s $ �2�' <br /> (contract price) �minimum $35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a (Nlinimum Fee of $ .50) <br /> 3�� °� x .0005 � i , 7� <br /> (contract price) (minimum$ .50) <br /> 3. Postage and Handlin� (Only mail-in applications) $ -}-5� <br /> Z� <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ `-- <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cha.*ged for the permitted <br /> work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer <br /> for the work done. If any material, equipment, labor, or installation are furnished b�-the owner, tenant or <br /> any other party the reasonable market value of such items must be added to 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 al ateme made on this application are complete, true and <br /> correct. <br /> . ' <br /> Applicant's Signature• Date:l 4 D <br />� <br />