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� , ar;;� � ��������������� �� �� <br /> If above does r.ot apply;foliow guideliuf:s be,lo�r. <br /> 1. CONTRACT PR10E * ,s 1.25% c�Tc��iitr.aci,price v�ith a.(Miinimum Fee otS35.00) <br /> _ Soo.U� --- X.oias$ 3 S.v� <br /> (�mtrnct price) (minimwn$35.00) <br /> 2. S';fATE SURCHARGE **Add�he Sta�te P,ldg Cocl:l�iv. Surcharge(Minimum Fee ofS.SU) <br /> __ ,f(��.c�. ---x A005 $_ . S C� <br /> (c�ntr�cl�xice) (minimumS .50) <br /> 3. PoSTAGE&HANDLIrIG(Only o i P✓I<.il-In F�pplicalions) $ 1.50 <br /> 4. TCiTAL PERMIT FEE(A.dd Line� 1-3��t���ie� $ 37.o0 <br /> ■ * CONTR ACT PR[CE or JOB C���ST me inr, �he �ic:l.ual or �;stimated dol lar amount charged for the <br /> permitted vork including materi;als, labor, ►rofr; a�id other f::e3 costs. 1t s the amount to be charged <br /> to the cust�mer for the work done lf'any m:�teriaL �,quipme-nt, labor or installations are furnished by <br /> the owner, tenant or any other par��, ch�� rcasonablf: market �alue of s�ach items must be added to the <br /> estimated �,ost or contract price for permir ff:e �urp��ses. lu the event that there is a dispute on the <br /> amount of the job cost,the City ttury re;qu:st tlie; siil�missio�► of a signed �:opy of the actual contract. <br /> � ** The STATE SURCHARGE is .0005 of the<,ontiract price arader$1.000,000 or$.50—whichever is <br /> greater. F��r valuations over$l,Cb(I,OCO cal, d�e Etuilcl�ing Dep irtmE;nt at(9`2)249-4600 for the price. <br /> ...1�_' :��,��� ���� :� �� ������� I� , � �� <br /> 'The: undersigried hereby applies to the Cit,� ioi issuFuice o� a Pl.umbing Permit, agrees to do all <br /> work in siriai accordance with the ord�na�„es of'the Cit�� and the ret;ulations of the State of <br /> Minnesota, and certifies that all statf:mer t�� mad�, ��n this application are complete, true and <br /> correct. <br /> 1 � j-��' <br /> Applicant's S gnature: _ __________ ___ Date: <br /> ,u�s ��#�1 � <br /> �� , rm y'i�id <br /> ��:�(Ji}ya?,t,����f .. . ..=� aR i ,._n . . <br /> .3 <br />