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PER11��� FEE Ct�CU��TI��T(�1 <br /> 20Q� Sta�e Statute ❑ �'es, �his SectiQn t�pplies <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 fixture or appl�ance: <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. rontract Price* is .0125 % of job with a Minimum �ee of ($35.00) <br /> ,�/C'�,�� x .0125 $ <br /> (contract price) (minnnum$35.00) <br /> 2. State St�rcharge ** Add the State Building Code Division a (Minimum Fee af$ .50) <br /> x .0005 $ <br /> (contract price) (minunum$ .50) <br /> 3. Post�e �nd �iandlin� (On1y mail-in applications) $ 1:50 <br /> 4. TOTAL PERMIT FEE (Add liaes 1-3 above) $ . <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar aznount charged 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 aze furnished by the owner,t�n�nt 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 conirtct. <br /> ** The STATE SURCHARGE is.00OS of the contract price under$1,000,000 or $.50-whichever is greater. <br /> �or valuations over$1,000,000 call the Department of Inspecrion Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do ail <br /> work in strict accordance with the ordinances of the City and th� regulations of the State of <br /> Minnesota, and certifies that a11 statements made on this appiication are complete, true and <br /> correct. <br /> Applicant's Signature: -�✓t l� G Date: ' G' �, . <br /> � <br />