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. ,08/26/2013 15:41 9524960064 APPLIANCE CONNECTION PAGE 03/03 <br /> �f atwve does not�p1y;follow guidelines below� <br /> 1. CON�I' I�(' 'is 1.25°/u of contract pxicx with a(Mini�aum Fee of 55t1-00) <br /> , x.0125 S <br /> (aonora�x prico) • (mya�um SSo.00) <br /> 2. STA � RC E •�Add the State Bldg Code Div.Sur�hsrge(Miwhuu�m Fee of 55.00) <br /> . x.0005 $ . . <br /> , ���p;�)� (mfnimum s s.a0) <br /> 3. P05'�AGE&HANI7LING(Only o�t Mail-in t#pplicatia�ns) �, _ -� <br /> � 4. TOTAY,PERMIT FEE(Add Lines 1-3 Above) S � � <br /> + = CON]CTtACi' PRICE or JOB C057'means the acRial or�dol�ar amount c�arged For the <br /> per�niitted yvork includimg materials,labor,proft�and other fixod costs. It is t�e amouat to'b¢charged <br /> to ttie custouxet for tb�e work doua. Yf airy maxriat,ecluiPment,labor or ins�l�stions are furnisb�ad by <br /> nc�owner,tenant or any othar partv,tlie reasonable market vak�e of such items mast be addod to the <br /> e.gtimated cost or wntract p�ice for'permit fee purposes. in the event that there i�a dispute on the <br /> amo�mt of the job eost,the Ciry ia�aY'request the submission of a signed oapy of tho actual cont�ec. <br /> ■ **The STA'i'E S'(7RCHARt3B is.0005 ofthe c�►uact�ice u�er 51,000,000 or$5.00--whicf►ever is <br /> gresta. For valuations ovar 51,000,000 oall the Build,iug beparm�ent at(952)249-4600 for u+e priee. <br /> 7]ae undersigr�ed hereby spplies to the City tb�'issu�nce oF a Plumbialg Permit,agrees to do all <br /> work izi strict aocordance wiRh tha oxdinances of the City at►d the r�gulations of the State o� <br /> Min,nesota, and ces ti�'ies that al1 statexnents tnade on t,his a�lication are complete, true and <br /> �� <br /> � � . <br /> Applica�at's Sig►atiu'e: Dste• �� � <br /> • � <br /> � <br /> . . ` . <br /> � � <br /> • <br /> � '• <br /> • . ' '�. ,. <br /> , , , <br /> � <br /> • � . , <br /> f <br /> J <br /> � <br />