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PERNfIT E CALC'CTI,ATTON S . <br /> 20 2 State Statute Yes, This Section Applies <br /> The replacemen[ of a �tesidential f xn2re or appliance that meets alI tbree of the following <br /> requirements: <br /> 1) Does not require modificaaon 1.o electrical or gas service. <br /> 2) Has a cotal cost of$500.00 or less; excl�dina the cost of the fxture or appliance: <br /> and <br /> 3) Is improved, installed or replac ed by the homeowner or licenced contractor. <br /> Skip next secuon; Cost of Permi.t $ r5.00 <br /> � 5tate Surcharge $ .SO <br /> Mail Tn �ee $ 1.50 <br /> If above does not apply, follow gaidelines below: <br /> 1. Coniract Price* is .0125 � of job with a Nlinimum Fee of ($35_00) <br /> x .0125 $ <br /> (coatr;3ct price) (minimum$35.00) <br /> 2, State urcharge. *� Add the State Building Code Division a (i�tinimum Fee of $ .50) <br /> x .0005 $ � <br /> (cono•act price) , (minimum$ .50) <br /> 3. Posta�e and Handlin� (Qnly mail-in applications) $ 1.50 <br /> 4. TOTAY. PER'�IIT F�E (Add lines 1.-3 above) $ � �, ' � <br /> * CONTF.ACT PRICE or JOB COST means thf�actual or estima�ed dollar amoun�charged for [he permiaed <br /> work including materials, labor,profit,and odier fixed costs. It is rhe amounc to be charged to�he customer <br /> for the work done. If any material, equipmec«, labor, or installation are furnished by the owner, tenanc or <br /> any other parry th� r�asonable market value of such i[ems must be added to ttie estimared cost or contrac� <br /> price for permit fee purposes. In the event chac there is a dispate on the amoun[of[he job cost, the Ciry may <br /> reques[the submission of a signed copy of thc actual contract. <br /> ** The STATE SURCHARG�is .0005 of the coi�trac�price�der S1,OOQ,000 or S.50 -whichever is grea�er. <br /> For vatuations over�1,000,000 call the Depacunent of Easpection Services for the price. . <br /> The undersigned hereby applies to the City fi�r issuance of a Plumbiug Permit, agrees to do alI <br /> work in strici accordance with the ordinanc�:s of the City and ihe regulations of the State of <br /> Minnesota, and certifies that all statements made on this application are complete, tnze and <br /> correct. <br /> Applicant's Signatur ; � Date. -��/��'�-�� � f� <br />