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rep-i5 [uu[ iu:i[am hrom-CIIT Ur UKUnu +85ZZ484616 T-698 P 003/003 F-337 <br /> ,. <br /> � PERMIT FEE CAY,CULATION(Sl <br /> 2002 State Statute � Yes, This Section Applie�� <br /> The replacement of a Re_ sidential fixture or appliance t�at meets all three of the following <br /> requirements: <br /> 1) Does not require modification co electrical Ur gas service. <br /> 2) Has a 1 cost of$SQ0.00 or less; exc diqug the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the hc�meowner or licenced contractor. <br /> Skip next section; Co�.t of Pernut $ 15_Op <br /> Stare Surcharge $ .50 <br /> Ma�.i In Fee $ 1.50 <br /> If above does not apply, follow guidelines below; <br /> 1. Contract Price* is .0125 % of job with a Minim�im Fee of($35.00) <br /> 1�,UtSi� x .0125 $ 2��. �U <br /> (contract price} � (miniuium$35.00) <br /> 2. State SurcharQe. ** Add the State B�iilding Code �ivision a (Minimum Fee of� _50) <br /> ���_,�`^,_� _ x .00OS $ q,00 <br /> (contcuc price) (minimum$ .50) <br /> 3. Posta�e and Aandlin� (Only mail-in applications) $ 1_50 <br /> 4. TOTAL PEYtMTT FEE (Add (ines 1-3 above) $ �35.50 <br /> '' CQNTRACT PRICE or]OB COST means tha�actual or estur�ated dollu amounc charged for the permitted <br /> work including materials,labor,profit,and odier flxed costs. �t is the amoum to be charged�o the customer <br /> for the work done. If any cnatezial, equipme:�t, labor,or inst��';ati�n are f-s;r.ished by thc owner, cenanc or <br /> any other party the reasonable markec va�ue of such icems mi�s�be added to the escimated cost or eontraet <br /> priee for permit fee pu:poses. In the evenc thai there is a dispu ie on rhe amount of rhe job cost,[he City may <br /> requesc the submission of a signed copy of che aeival eontract. <br /> ** The STATE SURCHARGE is .0005 of the cot�tract priee undc r$1,000,000 or �.SO-whichever is greater. <br /> For valuacions over 51,000,000 call the bepa��unent of inspec:gion Serviees for the price. <br /> The undersigned hereby applies to the City fc►r issuance o�'a Plumbing Permit, agrees to do all <br /> work in stric[ accordance with the ordinancE�s of the Cit;�� and the regulations of the State of <br /> Minnesota, and certifies that all statements made on thi:•, app�ica�io�aFe complete, true and <br /> Correct. . <br /> Applicant's Signanue: (J��` � �C� `�1'i'� Date: Z"ZG �'L <br />