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r <br /> �: � � .,.. � , <br /> � � . ,» y <<��� ,. <br /> "� '8� .,,�. E�.. �., :.,z sro <br /> „f t � v <br /> F,k-, <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE * is 1.25%of contract price with a(Minimum Fee of$50.00) <br /> �3, �lb� °�—' x.oi2s $ ..�� ��' <br /> (contract price) (minimum$50.pp) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> 3u�C�°` :� � � ?� <br /> X.000s $ <br /> (con[ract price) (minimum$ .Sp) <br /> 3. POSTAGE& HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMYT FEE(Add Lines i-3 Above) $ � ,,'�v}��.�' <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. [t 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 bc 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, [he City may request the submission of a signed copy of the actual conlract. <br /> ■ ** The STATE SURCHARGE is .0005 of the contract price under$I,000,000 or$.50—whichever is <br /> greatcr. For valuatiuns over$1,000,000 call lhe Building Department at(952)249-4600 for the price. <br /> �� "" ,�t�:� �' ,�, �� <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 [he 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 /> r`� � � <br /> Applicant's Signature: --'�� -���/ `� ^��'�� <br /> Date: <br /> � .:�.. �.. `�.�µ, <br /> 3 <br />