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�r��ea-r�� <br /> , �vv, t <br /> i <br /> � ��'R 2 1 1�� <br /> � <br /> PERMIT FEE CALCULATION <br /> 1. 1.25% of Contract Price* or Minimum Fee ($35.001 <br /> `� I��c� .�_.c, X .oi2s $ 35.� <br /> (contract price) <br /> 2. State Surchar� ** Add the State Building Code Division <br /> Surcharge to each permit. � j 3�.�(� x .0005 $ ,l�,`j <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Fostage �nd Har,dling (Only mail-in applications) $ 1.�0 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ "��7.1 S <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation are furnished by the owner, Y <br /> tenant or any other party the reasonable market value of such items must be added to th� estimated c�st ` <br /> or contract price for pemut fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> the City may request the submission 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 ` <br /> greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. <br /> The undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees to do all � <br /> work in strict accordance with the ordinances of the City and the regulations of the State of � <br /> Minnesota, and certifies that all statements made on this application are complete, true and <br /> correct. <br /> � <br /> A licant's Si nature: ���C,uc.�C�- �� �j'rt��2 Date: ����/ �l <br /> PP g <br />