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, ' . <br /> PE 'Y' CYJL ON <br /> 20 2 tate tatute Yes, This Section Applies <br /> The replacement of a �tesidential fixture or ap,pliance that meeu alI three of the following <br /> requirements: <br /> 1) Does not require modificauon I.o electrical or gas service. <br /> 2) �Ias a cotal cost af$500.Q0 or less; e c ' Q the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, installed or replared by the homeowner or licen,ced contractor. <br /> Skip next section; Cost of Permit $ r5.00 <br /> � State S1lrcharge $ .SO <br /> Mail Yn Pee $ 1.5� <br /> If above does not apply, follow guidelines below: <br /> 1. C�ntract �-i��* is .0125 % of job with a Minimum Fee of ($3S.001 <br /> x .0125 $ <br /> (coatr,tct price) (minimum$35.00) <br /> 2, State urcharge. ** Add the State Building Code Division a (Minimum Fee of$ .50) <br /> x .0005 $ � <br /> (cona•act price) (miniuium$ .50) <br /> 3, P e and Handli (Qnly mail-in applications) $ 1.50 <br /> 4. TOTAY,PERMIT F�E (Add lines 1.-3 above) $ 1�� � 0 <br /> * COIVTR.ACT PRICE or 70B COST means thE:actual or esumaced dollar amount charged for the permitted <br /> work iucludiag materials,labor,profiL,and odier fixed cosu. It is che amounc to be charged to�he customer <br /> for the work done. If any material, equipme�u, labor,or installarion are fumished by the owner,tenanc or <br /> any other garty th�zeasonable cnarket value af such i[ems mnst be added to the estimated cost or conuaci <br /> price for permit fee purposes. in rhe event Lha�c there is a dispute on che amouut of the job cost, the Ciry may <br /> request the submission of a signed copy o4 tbc ac�usl conrract. <br /> ** The STATE SURCHARGE is .0005 of the contrac�price under�1,000,000 ar S.SO -whichever is greacer. <br /> For vaIuaiions over$1,000,000 call the Depactmenc of Iaspeetioa Serviees for the price. . <br /> The undersigned hereby applies to the City fi�r issuance of a Plumbing Pennit, agrees to do all <br /> work in strict accordance with the ordinanc�s of the City and ihe regulations of the State of <br /> Mi.nnesota, and certifies that all statements made on this application aze complete, true and <br /> correct. <br /> Applicant's Signature: Date: _���� <br />