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FERIr���' FEE Ct�.CU�.,���4N(�) <br /> 2002 State Statute ❑ Yes, This Section�€gpiies <br /> The replacement of a Residential fixture or a�,nliance that meets all three of the following <br /> requirements: <br /> 1) Does not require modification to electrical or gas service. <br /> 2) Has a totai cost of$500.00 or less; excludin� 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 Pemut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail In Fee $ 1.50 <br /> If above does not apply, follow guidelines below: <br /> 1�. Contract Frice* is .0125 % of job with a NFinimum Fee of ($35.001 <br /> �a <br /> �E'jc`��� x .0125 $ 'r''��" <br /> (contract price) (minimum$35.00) <br /> 2. State Surcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) <br /> �{�� x .0005 $ `L�� <br /> (contract price) (minimum$ .50) <br /> 3. gostage and I�andlin� (Only mail-in applications) $ 1.50 <br /> 4. TQTAL PERMIT FEE (Add lines 1-3 above) $ �j C�'•� <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 fized costs. It is the amount to be charged to the customer <br /> for the work done. If any material, equipment, labor,or installation are furnished by the owner, tenant or <br /> any other party the reasonable mazket 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 ar $.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 State of <br /> Minnesota, and certifies that all statements made on this application are compiete, true and <br /> correct. <br /> Applicant's Signature: Date: � � <br />