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cITT yr vF vpic t- O1L4T7v71v 177fLOf7T 14:LL .v71v7 PlV:0JO <br /> 11 Y. .. . . Vit► <br /> 1. 1.25% of Contract Pry* or Minimum FET ($55,00) <br /> q « x .0125 $ c3- -7�' <br /> (contract price) <br /> 2. age Syrcharge. ** Add the State Building Code Division <br /> Surcharge to each permit, (//- v — x .0005 $ 2 - t <br /> (contract price) <br /> or $.50, whichever is greater <br /> 3. Postage kW Handling (Only mail-in applications) $ 1.50 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ <br /> * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted <br /> work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the <br /> customer for the work done. If any material, equipment, labor,or installation arc furnished by the owner, <br /> tenant or any other party the reasonable market value of such Items must be added to the estimated cost <br /> or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, <br /> 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 Department of Inspectional Services 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 /> Mituiesota, and certifies that ail statements made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: �1� c�'�t_ Date: ? <br /> .Z 0051–Q/"e <br />