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02/1�/2011 THU 11: 55 FAX I '
<br /> • . � �003/004
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<br /> �,,k;,:,k.:t"�7?��..A'''�' '3. :�Li`...�y.�1+?'JeJ'wi\iFi7i�. .��� ° 1' s r, !c h /�� �+�3,.,�+'k�'.4"',3<2 x" a4T�.
<br /> :a• ,�$ a�?:,X.la.`�.'1�:�,�S:QlI:Q![,% .:t�s3:>t� �h..,::
<br /> f above does not apply;ti�liow guidelines Uelow: '
<br /> 1. CQN'�RAC7'PRTCF 'is 1.25%of contraqt price with¢(Minimnm T'cc of$50.Qj1)
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<br /> x.OI25 S
<br /> (ooniruot rioc) (mim m�m S50.00)
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<br /> 2. TAT�SURCI�'ARGF **Add the State Bidg Code Div,Sttrcltarge(Minimum Fe��f�5.00)
<br /> V l.% vy'
<br /> x.0005 $
<br /> (conlrsctpricc) (minimu� 3 5.00)
<br /> 3. STAG�&1-iANDL1NG(Only on Mail-In�pplicalions) $ 2,0�
<br /> 4. TAL ERM1T FE�(Add Line� 1-3lAbave) $
<br /> • * CON CT I�RICE or ]013 COST mcar►s the actuat or estunated Joll:ir a�n�unt clisrged for the
<br /> pormi work i cluding matexiuls, labor,profit,f►nd other fixed costs. It is tho amount to be chArged
<br /> to the cu omer f�qr tlia work done. lf any n�atorial, equipmont, labor or instellations aro furnisl�cd by
<br /> the own ,tenant or xuy olher party, the reaso able market vslue of such icems must bo added to tha
<br /> estimste cost or contract price for permit fee�purposes. In the eve►it that thet�e is a dispute on the
<br /> am�unt of the job cost, the City mAy request the submission of a signed copy of Uie actual conttact.
<br /> • **The STAT�S�1RCI3ARG�is,0005 of the contraet price nud�r$1,000,000 or$5.00—whicl�ever is
<br /> gccater. For vulu�tions over$1,00O,OOU call lhe�uilding Dcpartment at(952)249-4600 for the price.
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<br /> �y�,nczc,`Y,C � �'&� Y�:. :�'Y,� s% ��3.R�1+ " iXi ay �3 S�;�a Si�i%:
<br /> The undersigned hereby applies to the City for issuance of a Plumbinb Permil, agrees to do all
<br /> work in strict accordai�ce with the ordin ces of the City and the regulations of tl�e Siate of
<br /> Minnesota, and certifies that �•1'(�tale ents made on tl�is application ore eomplele, lrue and
<br /> , corrcct. �/
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<br /> � APP;icant's'5igna�r�:, . '. ' ' Date: � �� �p�/
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