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r <br /> . . H4 <br /> . � �� .,�: ry �.�_x PERMTT.FE , �.ATION(S)'—JOBS OVER �SQO 00_ � ,:���,t, <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 /> `��i � /-S�� x.0125 $ <br /> (contract price) (minimum$50.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Sttrcharge(Minimum Fee of$5.00) <br /> x.0005 $ <br /> (contract price) (minimum$ 5.00) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the <br /> pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the wark done. If any material, equipment, labor or installations are furnished by <br /> the owner, tenant or any other pariy, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for pernut 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$5.00—whichever is <br /> greater. For valuations over�1,000,000 call the Building Department at(952)249-4600 for the price. <br /> ' r.� <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 that all statements made on this application are complete, true and <br /> correct. <br /> , � � <br /> , <br /> Applicant's Signature:�`� �,����1'iL���.� Date: I��1 q ��Q <br /> 3 <br />