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Mar 2� 06 08: 06a Tim Iverson 320-274-8820 p. 4 <br /> Zj�- <br /> PERMIT FEE CAT.,CULA7'CON(S)—JUBS OVER$SOQ..00 � � <br /> �_�_,_ � � <br /> If above does noi applp; follo�v Suidelines h.:ln�4: <br /> !. C'OiV1'RACT Pli[C� * is t,�S"io c�fc�ntract pricc with a(Minimum F'ee of$35.Q0) <br /> , <br /> ���.P.O�. c)� x.Ol 25$ _ <br /> (c��wra�ct Rr�cc) pninimum�3�,00} <br /> ?. STATE SURCH�I�RC� *" Add the Sta(e l�ld�f,:ode Div.Surcha�•�,e(�'iinimum Fee ofS,54) <br /> �.(�OUS 5�,. — <br /> --(rnnlruct pncc) _�._ (minimum S :�11) <br /> 3. POS'CAGI.dk.i'lA�'�IULfCiG(Uuly o�i tiiail-In Applications) S 1.5� _ <br /> �I. TOTAL P�RMI'C FEE(Acld Lines I-3 Above) ��..... <br /> t * CON"i'[iRCT YK[C:E or 10B C:OS1' mcans tJte a►etual or esti�a�ated clotlar nn�ou�it eharged fac rha <br /> perniitt�cl �uarh including niacorials, labor, profil,and otlier fixed costs. lc is�ize amo�mt t�'be eharged <br /> to the.cust��mer inc d�e work done. If any material,eyuipmenl, laUor ar installations�i�e fi�rnish�d by <br /> tbe own�r, tenant ar any other parry, the re:�sonablr market v�lur uF cuch items must be added ro the <br /> estiutated cast or contract price for permit fce purpaszs. ln thc event lh�t thece is s dispute on tl�e <br /> aniounc of the job cost, ll�c Cily mny requcs[thc submission of a signcd copy oF shc nctual contract. <br /> ■ *" T{�,e STATE SU[tCHARGL is.QOOS of the ccmtract pricc under�I,OUQ,000 or S.SO–�vhichever is <br /> £rtatcr. for valttations aver$1,OOU,000 call th��i�iilciirig De��artment ot(�152)2A9-�1640 for the p-i�:c. <br /> . . -' . :'�.PLUMl3.ING P�l�MTT APFL��ATI4N AGKEEMENT::; �:':" �.; . �� <br /> The undei�i�ned he►�eby a�plie� fo the Gity 'for issuHnce oC a Plumbing Permic, �grees to do �11 <br /> �v�rk in �p•ic1 accordance with the ordinances af rhe City and the i�egulations uf �he Stace of <br /> Minn�sota, and cectifies fhat all stAceinants n�ade on tl�is appiicatiott ai-e c4mpl.et<:, tcue. .and <br /> ccrrecc. <br /> Appiicam's Sigrratur • ___.�._.._. _..,...._ Date; � Z�� O�o <br /> Reset Form � <br /> 3 <br />