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01'/16/2008 16:01 7637534514 LIBERTY PLUMBING & H PAGE 04 <br /> ail:..':,:�:'I;�.....ly:i'I'"•�fl:..... J�.. ry�•�„�+ �„L'1��, "r,. <br /> If above does not apply,follow guidelines below: <br /> I. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of 535.00) <br /> Sot oo x.0125 S_ <br /> coritract price) (minimum$35,00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div.Surcharge(Minimum Fee of S.5o) <br /> --x.0005 $ <br /> (contract price) (minimum 5 .50) <br /> 3. POSTAGE&HANDLING(Only on•Mail-Tn.Applications) <br /> 4. TOTAL,PERMIT FEE(Add Linea 1 3 Above) S <br /> ■ * CONTRACT PRICE or JOS COST means the actual or estimated dollar amount charged for the <br /> permitted work including matodals, labor, Profit,turd uthcr fixed costs. TE is the amount to be charged <br /> to the customer for the work done. 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 /> c st matcd cum( w• wntract price for permit tee 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 signed copy of the actual contract. <br /> ■ *' <br /> 11e,SIATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50—whichever is <br /> greater. For valuations over$1,000,000 call the Building Department at(952)249-4600 for the price. <br /> nli4��•• i'i t. n.H ilti .,11 b.�V LWT I.. `'ri .mh.••...:::"�n1i <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 ordivaiuxs of the City and the regulations ot* the State of <br /> Minnesota, and certifies that statements rnadc on this application are complete, true and <br /> correct. <br /> Applicant's Signa Date 1 '"I�p' V <br /> 'i,i�i"'J• ••�.dCi�'� .„m'.rr°ung..•_":' '':•' ;:i�i:.rn1Y'RR�t�',°•_,'...._.. <br /> it. 1� n1i!';:' !��,,�yy♦�r pw :riiil'li"i':�i <br /> '�iM�1ii4i�:;' � ?i;IF68��;.•r;,� b.I r. •` ,r.l.• d� <br /> 3 <br />