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PERMIT E CALCUT,ATTON S � . <br /> 20 2 State Statute Yes, This Section Applies <br /> The replacement of a �2esidential f xture or annliance that meeu all three of the following <br /> requirements: <br /> 1) Does not require modificauon 1.o electrical or bas service. <br /> 2) Has a total cost af$500.00 ar less; excludinQ the cost o�the f�ture or appliance: <br /> and <br /> 3) Is improved, installed or replared by the homeowner or licenced contractor. <br /> Skip next secuon; Cost of Permit $ T5.00 <br /> State Surcharge $ .50 <br /> Mail Tn Fee $ 1.50 <br /> �f above does not appiy, follow guidelines below: <br /> 1. C�ntract Price* is .0125 J of job with a Minirnum Fee of ($35_00) <br /> x .0125 $ <br /> (contr,tct price) (minimum$35.00) <br /> 2. State �urcharge. '�* Add the Staie $uilding Code Division a ('iVlinimum �'ee of $ .50) <br /> x .�405 $ � <br /> (convact price) (minimum$ .50) <br /> 3. Posta�e and Handling (Qnly mail-in applicarions) $ 1.50 <br /> 4. TOTAL, PER�'IIT F�E (Add lines 1-3 above) $ ��. � 1 __ <br /> * CONTRACT PRIC�or JOB COST means thf:actual or esamated dollar amovnt chazged for the permitted <br /> work includir�materials, labor,profit, and odier fixed costs. It is rhe amoun�to be charged to the customer <br /> for the work done. If any material, equipmera, labor, or installation are furnished by the owner, tenant or <br /> any other party th� reasonable market value cf such i[ems musc be added to the estimated cost or contraec <br /> price for permit fee purposes. [n th�event Eha�there is a dispute on the amourt�of the job cost, Lhe Ciry may <br /> requesc the submission of a signed copy of thc accual eontract. <br /> ** The STATE SURCHAF�G�is .0005 of the con�ract price under S1,000,000 or S.50 -whichever is greater. <br /> For valuations ovcr�1,Ob0,000 call the Depa:-rmenc of Inspection Services for the price. <br /> The undersigned hereby applies to the City f��r issuance of a Plumbing Permit, a.grees to do all <br /> work in strict accordance with the ordinana;s of the City and the regulations of the State of <br /> Minnesota, and certifies that all stacements made on this application are eomplete, true and <br /> correct. <br /> Applicant's Signature�iln,�l.�,��.�� Date: �s-�—�_��--1 - <br />