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gE��� �� e�.c�,�����sz <br /> 2042 State Statute ❑ Yes, �his Section Agplies <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; excluding the cost of the fixture or appliance: <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. Contract Price* is .0125 % of job with a Minimvm �ee of($35.00) <br /> � l3�, ao�•� x .0125 $ <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) <br /> x .0005 $ <br /> (contract price) (minimum$ .50) <br /> 3. Postage and Handiin� (Only mail-in applications) $ 1.50 <br /> 4. TOTAI.PERMIT FEE (Add lines 1-3 above) � <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount chazged for the permitted <br /> work including materials,labor,profit,and other fixed costs. It is the amount to be chuged to the customer <br /> for ttie work done. If any material,equipment, labor,or installation aze furnished by the owner,tenant 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 contract. <br /> ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or $.50-whichever is greater. <br /> For valuations over$1,000,000 call the Department of Inspection Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Pemut, agrees to do all <br /> work in strict accordance with the ordinances of the City and the regulations of the 5tate of <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Bate: � -/3 l d� <br />