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Rpr 11 06 01 : 28p Tim Iverson 320-274-8820 p. 4 <br /> � �JIrF. <br /> `:.;`:PER]1�1IT��E CA�,GULATtON(S)�-JOBS 4VER$500�00 � <br /> If above does n�t apply;fallow guidelines below: <br /> 1. C.ONTRACT PRICE + is 1.25%uf contract price wid�a(Minimum Fee of 535.00) <br /> o� <br /> _ �- ' C�, x.61ZSS <br /> (contract price) (mmimum f35.00) <br /> 2. STATE SURGHARC� *�Add the State Bldg Code Div.Surcharse(Minimum Fec otS.SO) <br /> - ��`�� •i� x.OQ05 $ <br /> (conlract price) (m�eimum S ,30) <br /> 3. PnSTAGE�S:HANDL[NG(Only on Mail-in Applicetions) $_ � Sq <br /> 4, TOTAI,PERMI't FEE(Add l,ines 1-3 Above) s <br /> ■ * CONTRACT PRICE o�JOii COST means the actual or eslimated dollar amau��t chacged for the <br /> permitced work including materiats, labor,profil,and other fixed costs. It is the amount to be charged <br /> to the cusmmer for the work done. !f any material,equipment, labor or instatlations are fiimished by <br /> the owner,tenani or any nther parry, the reasonable market value of such items must be added to the <br /> esiimated cost or contract price for permit fee purposes. 1n the event that there is a dispute on the <br /> amount of the job cost, thc Ciry may request ri�e submission of a signed copy of the actual contract. <br /> • '•The STATE SURCHARG� is.00DS of the contract�rice under S1,OOO,OOQ or 5.50-wkichever is <br /> greater. For vatuations over 51,000,000 call thc Building DeparinTent at(952)Z49-4600 for the price. <br /> ,:::�: •-. <br /> • --- <br /> _._..,.,:,,, <br /> . ....... ....::... ....... - <br /> 'P��7I►i�lI�1G'PER�iIIT�'PL;I�A-: � � <br /> `i'ZO�V'A�R�ET�,�v1E'I�T;:' <br /> Tlie undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do atl <br /> work in strict accordance with the ordinances af the City and the regulations af�the State of <br /> Minnesota, and certifies that al! statements made on this application are complete, trwe and <br /> correct. <br /> Applicar:Ys Signatu `_^� -r+---��" Date:���f �(1�/ <br /> r - <br /> ;= Rsset�o�'m .:�.: :... ;; �._ .: <br /> � <br />