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P <br /> ,fi � •,..roe.,'..'y- T�pt1 <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25"x6 of contract price with a(Minimum Fee of S50.00) <br /> x.0125 S <br /> (0001 rad price) (Waimum 550.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Yee of$3.00) <br /> X.0005 S <br /> (comrea price) (minimum$ 3100) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S <br /> • ' CONTRACT PRICE or JOB COST mesas 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 dope. 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 be 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, the City may xequest the submission of a signed copy of the actual contract <br /> ■ s'The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$5.00--whichever is <br /> greater. For valuadons over$1,000,000 call the Building Deparanent at(952)24.9-4600 for the price. <br /> . � .,.,, 1111 .. ..:, •,.. _ <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 /> Applicant's Signature: Date: <br /> C rel,r Com-•/ � ��II��. �5�f � . <br /> oG / r3 <br /> P � ry 320 - 25 f - <br /> 3 <br />