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PER:MIT FEE CALCULATION S --J4BS+�VER$540.OQ <br /> If above does not apply;follow guidelines below: <br /> l. CQNTRACT PRICE •is 1.25%of contract price with a(Minimnm Fee of 550.00) <br /> �Sad x.0125$ <br /> (conuact Price) (mieimrm�o.00) <br /> 2. STATE SURCHARGE <br /> x.0005 S <br /> (comract Price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) S 2.OQ <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> • * CONTRACI' PRICE or JOB COST means the actual or estimated dollaz amount charged for the <br /> pemiitted work including materials,labor,profit,and other fixed costs. It is the amount to be charged <br /> to�e customer for the work done. If any material,equipment,labor or installations aze fiunished by <br /> the owner,tenant or any other party,tlie reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the evem 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 /> PLUMBIN�`ir PERMTT APPLICA�t}1'�A+CCI�FEA�#ENT <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 thai all statements made on this application are complete, true and <br /> correct. <br /> Q/_ Zoi3 <br /> Applicant's Signature: Date: <br /> Reset Form <br /> 3 <br />