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PERMYT �E CALCULATYON(Sl � . <br /> 20 2 State Statute Yes, This Section Applies <br /> The replacement of a Residential f xture or appliance that meets all three of the following <br /> requirements_ • <br /> 1) Does not require modification t.o electrical or aas service. <br /> 2) Has a total cosc of$SOO.OQ or less; excludinQ the cost of the fixture or appliance: <br /> and <br /> 3) Is impraved, installed or replac ecl by the hameowner or lice ed contractor. <br /> Skip next secuon; Cost of Permi $ T5.00 <br /> � State Surchar e $ .SO <br /> Mail Yn �ee $ 1.50 <br /> .dD <br /> If above does not apply, follow guidelines below: <br /> 1. Contract price* is .�125 % of job with a 1�Iinimum Fee of ($35.Q0) <br /> x .0125 $ j �� �� <br /> (contr;ict price) (minimum$35.00) <br /> 2. State �urcharge. *�` Add the State Building Code Division a (IVlinimum �'ee of $ .50) <br /> X .QQQ� � `� � . <br /> (cona•act price) (minimum$ .50) <br /> 3, Posta�e and Handling (pnly mail-in applicarions) $ 1_50 <br /> 4. TOTAT. PER'�IIT F�E (Add lines 1-3 above) $ ��, L� � <br /> * CONTF.ACT PRICE or 10B COST means thE:actual or estima�ed dollar amoun�charged for the permitted <br /> work including materiais, labor,profic, and od�er fixed costs. It is che amoun�to be charged to the customer <br /> for the work done. If any material, equipmec�t, labor, or installation are furnished by the owner,tenanc or <br /> any other party the reasonable market value cf such i[ems musc be added to the estimated cost or contrae� <br /> � price for permi[fee purposes. In the avent thac there is a dispute on che amount of the job cost, the Ciry may <br /> request the submission of a signed copy of thc actual contracc. <br /> ** The STAT�SURCHARG�is .0005 of the coi�tracc price under S1,OOQ,000 or S.50 -whichever is greacer. <br /> For valuations ovcr�1,000,000 call the Depacanen�of Inspectioa Services for the price. , <br /> The undersigned hereby applies to the City f��r issuance of a Plumbing Permit, agrees to do all <br /> work in strict accordance with the ordinanc�:s of the City and the regulations of the Scate of <br /> Minnesota, and certifies that all statements made on this application aze complete, ttve and <br /> correct. <br /> � � � <br /> Applicant's Signature; ' jr ----� Date: i� Z�/�d�3 <br />