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��j;$�,� F�E CALCULATION <br /> 1. 1.ZS96 of Co�taact Prscc* or <br /> - S - � ,c � .:� x .0125 S �� � �- <br /> (contr�Ct pricc) <br /> 2. ,�j�,,,����, ** Add the 5tate Building Cocia Divisiat� <br /> Surcharge to each permit. x .00OS � �L� <br /> (contraa p�icc) <br /> ox $,�0, whichevar is greater <br /> 3: Pos�,�¢� acr� Han� (�nly mail-in applications) $ �,.�p <br /> 4. Tfl7°AL PERMIT �EE (Add lin�s �-3 above) $ , �,�/• ^r"�r „ <br /> * CONTR�G"]'PR1CF 0�JOB COS'I'menn,the actu�l oc estlmated dollAr�moant chat�cd fot thc permltted <br /> work inc�lud3nB material�, labar. pro�t, astd qtl�er tixed costx. lt is tho �twunt to be chargcd to the <br /> customar for th�work dane. 1f any matorial.equipmet,t, l�bor,or installation sro fu�ttished by thc ownet, <br /> lonant or any other pa�y rbe reasoaable merkat value �f euch items muat be added ca the estiinated ec�at <br /> or cantrnct price far peratit fce putposce. In tho cvent thet thore is a d[spuce on the arnouns of the job cast, <br /> the C3.ry may requeat the surmisaioa af a Kigned capy of the ectual contract. <br /> '�'' The S'TA'TB SURG�IAAOA 'rs .00OS of the c�ntrpct pdce undar S1,400,UQQ qc S.SO - whichever is <br /> grr.uter. Far valuatfona over S1,U00,000 call the Deputment of Inapectfanal Servicea for the price. <br /> The uttderaigned hereby applies to the City for issuance of a Plumbing Pernnit� sgreee to do al1 <br /> work i�t �trict �ccordence with the ordinances of the City and the regutaEions of the State uf <br /> Minn�xota, and certi�er Ehat all swtcmct�te m$dc on thia application are complete, truc amri <br /> co�'rcct, <br /> \, <br /> APpliaant'sSignature: �� ���� � �i�� bate: �„� �,'" `��� <br /> 1 <br />