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rExNnT�c�.ctn.A�ax s -JOBs ovEx asoo.00 <br /> If above dces not appty;follow guidelines below: <br /> 1. CONTRACT PRICE s is l.25%of contract price with a(Mmimnm Fee of S35.O11) <br /> C 0 G'Q <br /> ���� x.0125$ � u?'� <br /> (��x�) (m��mum$3s.00� <br /> 2. STATE SURCHARGE �'Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> �OOD �n x.0005 $ �� ✓�� <br /> (contrsct pricx) (minimum S .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ ��!.3� <br /> ���DO <br /> 4. TOTAL PER1VaT FEE(Add Lines 1-3 Above) $ <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. It is the amount to be charged <br /> to the customer for the work�one. If any material,equipment, labor or installations are fiunished by <br /> the owner, tenant or any other party,the reasonable market value of s�h items must be added to the <br /> estimated cost or contract price for perQut 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 si�ed copy of the actual contract. <br /> ■ ** The STATE SURCHARGE is .0005 of the contract price under$1,000,000 or$.50—whichever is <br /> greater. For valuations over 51,000,000 call the Building Department at(952)249-4G0�for the price. <br /> PLI�1+IBiIl�TG PERMIT APPLICATIOI�T AGREEMENT <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 �es that all stabements made � this application are complete, true and <br /> corc�t. <br /> Appli��t�S 5���: � � L Date: /a�- �i-a7 <br /> �F� <br /> 3 <br />