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,. '➢ <br /> PERIVIYT k'�E CALC'C7I,ATXON(Sl • <br /> 20 2 State Statute � Yes, This Section Applies <br /> The replacemeni of a Ttesidential f xture or appliance that meets all three of the following <br /> requirements: <br /> 1) Does not require modificaaon 1.o electrical or aas service. <br /> 2) Has a total cost of$SOO.OQ or less; e�cct�dinQ the cost of the �xture or appliance: <br /> and <br /> 3) Is impraved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next secuon; Cost of Pertnit $ T5.00 <br /> � State Slircharge $ .SO <br /> Mail Tn�ee $ 1.50 <br /> If above does not appiy, follow guidelines below: <br /> 1. Contract pri�e* is .�125 % of job with a 1�Iinimum Fee oF ($35.00) <br /> x .0125 $ �S`� �-� <br /> (contr;ict price) (minimum$35.00) <br /> 2. State urcharge. ** Add the State $uilding Code Division a (IYiini.mum �'ee of $ .50) <br /> x .�OOS $ � S��' � <br /> (convact price} (minimum$ .50) <br /> 3, Posta�e and I�andling (Orily mail-in applicarions) $ 1.50 <br /> 4. TOTAY. PER'�IIT F�E (Add lines 1�3 above) $ � �� �'`' <br /> * CONTP.ACT PRICE or JOB COST means thE:actual or esama�ed dollar amoun�charged for [he germitted <br /> work includin�materials, labor,profit, and odier fixed costs. It is rhe amounc to Be charged to the customer <br /> for the work done. If any material, equipmeric, labor, or installation are furnished by the owner,tenaat or <br /> any other parry th�reasonable market value af such i[ems must be added to the estimated cost or contract <br />� price for permi�fee purposes. In the event zha�there is a dispuce on che amoun�of[he job cost, �he Ciry may <br /> request the submission of a signed copy of thc accual eontracc. <br /> *'* The STAT�SURCHARG�is .0005 of the coi�tracc price under 51,000,000 or S.50 -whichever is greacer. <br /> For valuations ovcr 51,000,000 call the Depacrmen�of Inspection Services for the price. _ <br /> Th� undersigned hereby applies to the City f��r issuance of a Plumbing Permit, agrees to do all <br /> work in suict accordance with the ordinanc�:s of the City and the regulations of ihe State of <br /> Minnesota, and certifies that all statemenu made on this application are complete, true and <br /> correct. <br /> Applicant's Signature; -� � �� Date: ��Z�l���i <br />