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i a <br /> PERMiT FEE CALCULATION(S) <br /> 2002 State Statute ❑ Yes, This SecHon Applies <br /> The replacement of a Residential fixture or appliance that meets all three of the following 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: 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 Minimum Fee of ($35.00�, <br /> � DUD x .012 5 $ .� �, � �i <br /> —� <br /> (contract price) (minimum$35.00) <br /> 2. State Surchar�e. ** Add the State Building Code Division a (Minimum Fee of$ .50) <br /> x .0005 $ / ��' <br /> (contract price) (minimum$.50) <br /> 3. Postage and Handling (Only mail-in applications) $ 1.50 <br /> / �-� <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work <br /> including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work <br /> done. [f any material, equipment, labor, or installation are furnished by the owner, tenant or any other party the <br /> reasonabie market value of such items must be added to the estimated cost or contract price for permit fee <br /> purposes. [n the event that there is a dispute on the amount of the job cost, the City may request the submission <br /> 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 Permit, agrees to do all work <br /> in strict accordance with the ordinances of the City and the regulations of the State of Minnesota, and <br /> certifies that all statements made on this application are complete, true and correct. <br /> --> <br /> Applicant's Signature: �-�`��.,.,�,f'��,�� l�j f /r�-�F Date: /C% � G <br /> Reset Form <br />