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PERMYT �E CALCYJT,ATION(S) <br /> . <br /> ZOQ2 State Statute Q Yes, This Section Applies <br /> The replacemeni of a �tesidential f xture or appliance that meets all three of the following <br /> requirements: <br /> 1) Does not require nlodification t.o electrical or gas service. <br /> 2) Has a total cost of$SOO.QO or l�ss; excl�dina [he cost of the fxture or appliance: <br /> and <br /> 3) Is improved, installed or replaced by the homeowner or licenced contractor. <br /> Skip next secuon; Cost of Perrnit $ �5.00 <br /> � 5tate S�rcharge $ ._50 <br /> Mail Tn Fee $ 1.50 <br /> If above does not apply, follow guidelines belaw: <br /> 1. Contract Price* is .0125 % of job with a 1�Iinimum Fee of ($35.00) <br /> x .0125 $ <br /> (contr;ict price) (minimum$35.00) <br /> 2. State urcharge. *� Add the State Building Code Division a (IVYinimum Fee of $ .50) <br /> x .00OS $ � <br /> (conv�act price) (minimum $ ,50) <br /> 3, Posta�e and I�andling (Qnly mail-in applicarions) $ 1_50 <br /> 4. TOTAY. PER'�IIT F�E (Add lines 1-3 above) $ � l ��c <br /> * CON`I'RACT PRICE or 70B COST means thf: actual or estimaced dollar amoun�charged for the permitted <br /> work includiq,materials,labor,profic,and o�lier fixed costs. It is�he amoun�to be charged to die customer <br /> for the wosk done. If any material, equipmec�c, labor, or installation are furnished by the owner, tenan�or <br /> any other parry th� reasonable market value cf such i[ems musc be added to the estimated cost or contrae� <br /> � price for permi�fee purposes. In the event chac there is a dispate on che amount of the jab cost, the Ciry may <br /> request the submission of a signed.copy og thc actual contract. <br /> *+ The STATE SURCHARG�is .OQOS of the contracc price under 51,OOQ,000 or S.50 -whichever is grea�er. <br /> For vaivations ovcr $1,Ob0,000 call the Depactmene of Fnspeetion Services for the price. . <br /> The undersigned hereby applies to the City fi�r issuance of a Plumbing Permit, agrees to do all <br /> work in strici accordance with the ordinanc�;s of the City and the regulations of the State of <br /> Minnesota, and certifies that all stacements made on this application are complete, true and <br /> correct. � � <br /> � y ' ^ <br /> � � � � � � ' Date: � �� <br /> Ar�licant's Signature;;`\ ' ` <br />