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G.TT 0r 0F(O14O 01Z:4T00710 07TZ(7l7T 14;ca 03 ;07!07 N0:070 <br /> 4 <br /> pERMiT En CALCULATION <br /> 1. 1.25% of Contract Pry* or Minimum Fee ($35,00) <br /> x .0125 $ /5 U <br /> (contract price) <br /> 2. Sfl.e S lrc ge. ** Add the State Building Code Division <br /> Surcharge to each permit, _ x .0005 $ �. <br /> (contract price) <br /> or $.50, whichever 15. greater <br /> 3. Postage arr J 4ndling (Only mail-in applications) $ it30 <br /> 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ i s 7. S—r_ <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 /> Minnesota, and cei ifies that all statcments made oil this application are complete, true and <br /> correct. <br /> / ? <br /> Applicant's Signature: � _.�_ Date: <br />