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01/25/2010 12:02 7634752566 PAGE 04/06 <br /> If above does not apply;follow guidelines below: <br /> CONTRACT PRICE, * is 1.25%of contract price with a(Minimum Pee of$50.00) <br /> Zw 00 x.0125$ r00 <br /> (amtroct price) (minimum$50.00) <br /> 2. STATE SURCHARGE "Add the State Bldg Code Div.Surcharge(Minimum Fee nrs.50) <br /> 2q60,0a x.0005 $ /100 <br /> (Contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2,00 <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) $ S—/r Z0 <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 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 /> estimated cost or contract price for pen-nit 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 signed 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$1,000,000 call the Building Department at(952)249-4600 for the price. <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: IS& Date: <br /> �,ndut�i�ehm • ... : i i , <br /> 3 <br />