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YY <br /> C Y K sh <br /> PERMIT FEE CALCULATION <br /> �F <br /> 1. 1.25% of Contract Price* or Minimum F 5°00 ty <br /> (contract price) <br /> 2 Stateurchar e. ** Add the State Build' Code Division z` -i £f h h r i <br /> S g : <br /> Surcharge to each.permit. ; ` <br /> (contract puce) <br /> or $.50, whichever is greater F ' r <br /> 3. Postage and Handling (Only mail-in applicatibns) "w y s l� S' SUe k <br /> 4. TOTAL PERMIT FEE (Add lines 13- <br /> _ <br /> x <br /> * CONTRACT PRICE or JOB COST means the actufal or estimated dolla� o e <br /> work including materials, labor,profit, and`other fixed cosh <br /> customer for the work done. If any material, equipment,lalor,'74r ins a <br /> tenant or any other party the reasonable market value of sucjh item miistb ' <br /> or contract price for permit fee purposes. In the event that`..th`"eFe"isa <br /> the City may request the submission of a signed copy oftace <br /> i 5 I I <br /> ut�4 t <br /> ** The STATE SURCHARGE is .0005 of the contract pace under ` <br /> Fym <br /> greater. For valuations over $1,000,000 call the Department of <br /> The undersigned hereby applies to the City for issuance,o <br /> work in strict::accordance with the ordinances of the City u; <br /> Minnesota, and certifies that all statements made,oa thiappli Vis. <br /> correct. <br /> Applicant's Signature: <br /> ' 45. <br /> �t� IG 11i <br /> C- <br /> 1 <br /> `a <br /> I , <br /> rt ` <br /> t . �`� is � � � ♦ GA <br />