2002-P05696 - plumbing - Laserfiche WebLink

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.�. PERMIT FEE CALCULATION(Sl 2002 State Statute ❑ Yes, This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludin� the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licenced contractor. Skip next section; Cost of Permit $ 15.00 �tate Surcharge $ .50 Mail In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125 % of job with a Minimum Fee of ($35.00) �-� � � , S� C `� X .o125 $ � � �,� � (contract price) (muumum$35.00) 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) r C —� � � � J �� x .0005 $ � .� � (contract price) (mirumum $ .50) 3. Postage and Handling (Only mail-in applications) $ 1.50 L C� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ I �� * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the Ciry may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50 - whichever is greater. For valuations over$1,000,000 call the Department of Inspection Services for the price. The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and certifies that all statements made on this application are complete, true and correct. �.�'l � .�E �C� i,�� C�� '�� c�� 2 Applicant's Signature: C� � Date: ; ;