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. ' ,� <br /> FE�� =�.A1, _� S -�-J����U� �'�� �` � <br /> If above does not apply; follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> -�d, G�3 n- C.�Z� x A125$ �� 7S.C7"� <br /> (contract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of�.50) <br /> Z Z �v � .c� x.0005 $ ��• UZ <br /> contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ � 8' 7 S6 <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> permitted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, 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 Building Department at(952)249-4600 for the price. <br /> .,,,= PLUM��G PERMIT APFL�G.��3��� �:�.� �R � <br /> � <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 ardinances of the City and the regulations of the State of <br /> Minnesota, a�d���certifies�'��at all statements made on this application are complete, true and <br /> correct. <br /> C <br /> ___- <br /> __ __. <br /> __ __ ____ <br /> .___..�_ _�.� <br /> Applicant's Signature Date: � � S /Q� <br /> v� <br /> ,l <br /> Reset Form <br /> _�. <br /> 3 <br />